| NPI | 1053883405 |
|---|---|
| Doing Business As | ELITE MED SPA |
| Entity Type | Organization |
| Authorized Contact | KELLY CHRISTINE KREPINEVICH Business Manager 817-579-2660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2024-03-19 |