NPIMap

Organization Active NPI

Elite PHC Corporation

  • Primary Care Clinic/Center
  • Los Fresnos, TX
National Provider Identifier
1477602175
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
007352 Issued in TX
Legal business name
ELITE PHC CORPORATION
Practice address
220 E Ocean Blvd
Los Fresnos, TX 78566-3227
Phone
(956) 233-1202
Fax
(956) 233-1175
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Mr. Gaines Louis Burns Sr.
Title
Ceo
Phone
(956) 233-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 007352 TX Primary

Addresses

Primary practice location

220 E Ocean Blvd
Los Fresnos, TX 78566-3227

Mailing address

220 E Ocean Blvd
Los Fresnos, TX 78566-3227
Phone (956) 233-1202

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1477602175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E OCEAN BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663227",
            "telephone_number": "956-233-1202",
            "fax_number": "956-233-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E OCEAN BLVD",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663227",
            "telephone_number": "956-233-1202",
            "fax_number": "956-233-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PHC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "GAINES",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-233-1202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "007352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Fresnos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.