Elevate PCW TX LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELEVATE PCW TX LLC

Practice address

812 W McDermott Dr # 1211
Allen, TX 75013-6500

Phone

(469) 693-7164

NPI assigned

Aug 21, 2026

Organization subpart

No

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

Authorized official

Name

Aqsa Jamal

Title

Owner

Phone

(469) 693-7164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1508772252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W MCDERMOTT DR # 1211",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W MCDERMOTT DR # 1211",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136500",
            "telephone_number": "469-693-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PCW TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "AQSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-693-7164"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Allen, TX
• Providers in Allen, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.