Organization · Type 2 NPI
Elite Wellness Clinic PLLC
Family Nurse Practitioner · Desoto, TX
NPI number
1508692625
Active
Practice location
104 Lion St Ste C
Desoto, TX 75115-5071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1508692625
Elite Wellness Clinic PLLC's National Provider Identifier is 1508692625, issued on Sep 13, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Desoto, TX. The record was last updated on Nov 18, 2025.