Elevate Pcw Tx LLC
General Practice in Allen, TX. Organization (NPI-2).
NPI number1508772252
StatusActive
Last updated in NPPESAug 21, 2026
Details
- NPI
- 1508772252
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Pcw Tx LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2026
- Certification date
- Aug 18, 2026
- Last updated
- Aug 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
812 W McDermott Dr # 1211Allen, TX 75013-6500
Phone 469-693-7164
Mailing address
812 W McDermott Dr # 1211Allen, TX 75013-6500
Authorized official
Aqsa Jamal
Owner
4696937164
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