Elite Boutique Solutions
Health Maintenance Organization in Pearland, TX. Organization (NPI-2).
NPI number1639812720
StatusActive
Last updated in NPPESApr 30, 2023
Details
- NPI
- 1639812720
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Boutique Solutions
- Organization subpart
- No
- Enumeration date
- Apr 15, 2022
- Certification date
- Apr 30, 2023
- Last updated
- Apr 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
| 302F00000X | Exclusive Provider Organization | – | – | |
| 163W00000X | Registered Nurse | – | – | |
| 163WC1600X | Registered Nurse, Continuing Education/Staff Development | – | – | |
| 251300000X | Local Education Agency (LEA) | – | – | |
| 251B00000X | Case Management | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 284300000X | Special Hospital | – | – | |
| 305S00000X | Point of Service | – | – | |
| 333600000X | Pharmacy | – | – | |
| 347D00000X | Train | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Elite Boutique Solutions Health, Ebs, E B Health Care (Other Name)
Practice location
13003 Shallow Falls LnPearland, TX 77584-6525
Phone 251-219-9660
Mailing address
7205 Almeda Rd Unit 300171Houston, TX 77230-1059
Phone 832-788-7624
Authorized official
Michael T Smith
President, Provider
2512199660
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