| Organization Name: | ELEVANI HEALTH GROUP, PLLC |
| NPI Number: | 1174987663 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID PAYESTEH (SOLE MBR) |
| Mailing Address: | 520 E Northwest Hwy Ste. 102 Grapevine |
| State: | TX US |
| Postal Code: | 760516297 |
| Phone Number: | 8173281922 |
| Fax Number: | 8173328193 |
| NPI Enumeration Date: | 04/11/2016 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
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Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |