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Contact Information

ELITE PSYCHIATRY PC
3901 ARLINGTON HIGHLANDS BLVD STE 200
ARLINGTON, TX76018-6050
 Phone: 817-695-5035
 Fax: 817-695-5037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELITE PSYCHIATRY PC

NPI Number 1952888265
LBN Legal business name ELITE PSYCHIATRY PC
Authorized official RAVEN MODISETTE - (C.E.O)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2018
Last updated 05/16/2020 - About 6 years ago
Identifiers
TX License # M9770
TX Other AP137299 APRN LICENSE NUMBER
TX Other M9770 TX MEDICAL BOARD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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