| NPI | 1134985591 |
|---|---|
| Doing Business As | ELYSIAN HEALTH |
| Entity Type | Organization |
| Authorized Contact | ISMAIL SHAKOOR BOODHWANI Owner 214-430-4384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-08-29 |