Provider Demographics
NPI:1194249052
Name:ELEVATION HEALTHWORKS
Entity type:Organization
Organization Name:ELEVATION HEALTHWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICIAITING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCRUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-933-4403
Mailing Address - Street 1:13134 DAIRY ASHFORD RD STE 900
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3766
Mailing Address - Country:US
Mailing Address - Phone:281-313-0730
Mailing Address - Fax:281-313-0737
Practice Address - Street 1:13134 DAIRY ASHFORD RD STE 900
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3766
Practice Address - Country:US
Practice Address - Phone:713-933-4403
Practice Address - Fax:281-313-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX271663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy