| Elite Wellness | |
|
616 E 1st St Dumas TX 79029-3216 | |
| (806) 443-6650 | |
| Not Available |
| Full Name | Elite Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 616 E 1st St, Dumas, Texas |
| Authorized Official Name and Position | Melissa S Jones (OWNER) |
| Authorized Official Contact | 8064436650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Wellness Po Box 384 Dumas TX 79029-0384 Ph: (806) 443-6650 | Elite Wellness 616 E 1st St Dumas TX 79029-3216 Ph: (806) 443-6650 |
| NPI Number | 1770308355 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Medicare PECOS PAC ID | 5395265177 |
|---|---|
| Medicare Enrollment ID | O20250224001990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770308355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Melissa Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053670349 PECOS PAC ID: 2365757978 Enrollment ID: I20150811005470 |
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