Medi- Elite, Pc

LBN: Medi- Elite, Pc
Medi- Elite, Pc is an health care organization with primary practice located at 4621 S Cooper St Ste 131-717 , Arlington TX 76017-5866. The organization recently has 6 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Medi- Elite, Pc can be contacted via phone (214) 277-2243, or through Jackson Butler, Mahalia L via phone (214) 277-2243.

Contact Information

Primary practice address
4621 S Cooper St Ste 131-717 Arlington TX 76017-5866
Phone: (214) 277-2243
Fax: (214) 231-2926
Website:
Map and Directions
Authorized official contact:
Name: Jackson Butler, Mahalia L Nurse Practitioner (NP)
Phone: (214) 277-2243

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X AP117597 Texas
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X AP117597 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP117597 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP117597 Texas
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X AP117597 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP117597 Texas

Profile Details

NPI number 1528330792
LBN Legal business name Medi- Elite, Pc
DBA Doing business as
Authorized official Jackson Butler, Mahalia L Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2012
Last updated Sep 28th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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