Elixir 360 Health in Southlake, TX - Medicare Internal Medicine

Elixir 360 Health is a medicare enrolled primary clinic (Internal Medicine) in Southlake, Texas. The current practice location for Elixir 360 Health is 751 E Southlake Blvd Ste 129, Southlake, Texas. For appointments, you can reach them via phone at (817) 704-0847. The mailing address for Elixir 360 Health is 751 E Southlake Blvd Ste 129, Southlake, Texas and phone number is (817) 704-0847.

Elixir 360 Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851105910. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (817) 704-0847.

Contact Information

	Elixir 360 Health
	751 E Southlake Blvd Ste 129 Southlake TX 76092-6982
	(817) 704-0847
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Elixir 360 Health
Speciality	Internal Medicine
Location	751 E Southlake Blvd Ste 129, Southlake, Texas
Authorized Official Name and Position	Rajender Agarwal (AUTHORIZED OFFICIAL)
Authorized Official Contact	8177040847
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elixir 360 Health 751 E Southlake Blvd Ste 129 Southlake TX 76092-6982 Ph: (817) 704-0847	Elixir 360 Health 751 E Southlake Blvd Ste 129 Southlake TX 76092-6982 Ph: (817) 704-0847

NPI Details:

NPI Number	1851105910
Provider Enumeration Date	02/06/2025
Last Update Date	09/24/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	8022538057
Medicare Enrollment ID	O20250220003801

Medical Identifiers

Medical identifiers for Elixir 360 Health such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851105910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Elixir 360 Health acts as a billing entity for following providers:

Provider Name	Rajender Agarwal
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1659687788 PECOS PAC ID: 8224270939 Enrollment ID: I20171019002975

Reviews and Comments

Internal Medicine in Southlake, TX

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Elixir 360 Health - Medicare Primary Care in Southlake, TX