| NPI | 1205073905 |
|---|---|
| Former Legal Business Name | ELITE HEALTHCARE & REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE HICKEN Doctor 972-417-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX DC9941) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX TX9941) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: TX PT1107050) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX DC9941) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2015-08-14 |