Provider Demographics
NPI:1730843871
Name:ELITE MEDICAL GROUP
Entity type:Organization
Organization Name:ELITE MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-455-9794
Mailing Address - Street 1:4151 SOUTHWEST FWY STE 410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7320
Mailing Address - Country:US
Mailing Address - Phone:832-455-9794
Mailing Address - Fax:832-202-2898
Practice Address - Street 1:4151 SOUTHWEST FWY STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7320
Practice Address - Country:US
Practice Address - Phone:832-455-9794
Practice Address - Fax:832-202-2898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty