Elyte Surgical LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

ELYTE SURGICAL LLC

Practice address

4007 McCullough Ave # 272
San Antonio, TX 78212-2420

Phone

(214) 295-6703

Fax

(214) 245-5267

NPI assigned

Mar 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adrianna Villarreal

Title

Billing Manager

Phone

(214) 295-6703

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1366869109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 MCCULLOUGH AVE # 272",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122420",
            "telephone_number": "214-295-6703",
            "fax_number": "214-245-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 MCCULLOUGH AVE # 272",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122420",
            "telephone_number": "214-295-6703",
            "fax_number": "214-245-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYTE SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-295-6703"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Eltarzy, DDS
• Ayled Elvira Carbajal
• Rachel E. Ely, ACNP
• Elysian Hospice San Antonio LLC
• Elysium Behavioral Health, PLLC
• Christa Elza
• Florence Emade
• Marissa S Emadi, MD
• Kendra Lachelle Emamali, RN
• Shirin Emamieh

• Electroneurodiagnostic Specialist/Technologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.