Exceptional Care Elite Professional Limited Liability Company

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EXCEPTIONAL CARE ELITE PROFESSIONAL LIMITED LIABILITY COMPANY

Practice address

400 N Sam Houston Pkwy E Ste 280
Houston, TX 77060-3548

Phone

(832) 277-5843

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Latashia Renae Irving, MD

Title

Owner/Medical Doctor

Phone

(832) 277-5843

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latashia Renae Hicks, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1639581911
  NPD (past)

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1700582863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N SAM HOUSTON PKWY E STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603548",
            "telephone_number": "832-277-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N SAM HOUSTON PKWY E STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603548",
            "telephone_number": "832-277-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL CARE ELITE PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "LATASHIA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "832-277-5843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.