Elev Medical Center, PLLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

P1391 Issued in TX

Legal business name

ELEV MEDICAL CENTER, PLLC

Practice address

201 Enterprise Ave
Suite 800
League City, TX 77573-3082

Phone

(832) 848-0444

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Karen Quintavell Radcliffe, M.D.

Title

Ceo

Phone

(832) 848-0444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1790179398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE AVE",
            "address_2": "SUITE 800",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733082",
            "telephone_number": "832-848-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE AVE",
            "address_2": "SUITE 800",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733082",
            "telephone_number": "832-848-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEV MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "QUINTAVELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-848-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TX",
            "license": "P1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Family Medicine) Physician in League City, TX
• Providers in League City, TX by specialty
• Addiction Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.