Organization · Type 2 NPI
Elite Primary Care
Primary Care Nurse Practitioner · Tyler, TX
NPI number
1700752979
Active
Practice location
5520 Old Bullard Rd Ste 120
Tyler, TX 75703-4361
Fax (903) 817-4423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Tyler
About NPI 1700752979
Elite Primary Care's National Provider Identifier is 1700752979, issued on Oct 15, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tyler, TX. The record was last updated on Oct 15, 2025.