Provider Demographics
NPI:1285473223
Name:ELEV8 HEALTH & WEIGHT LOSS PLLC
Entity type:Organization
Organization Name:ELEV8 HEALTH & WEIGHT LOSS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOGHALU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:346-449-5503
Mailing Address - Street 1:1107 TYDEMAN CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7431
Mailing Address - Country:US
Mailing Address - Phone:364-449-5503
Mailing Address - Fax:
Practice Address - Street 1:1107 TYDEMAN CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7431
Practice Address - Country:US
Practice Address - Phone:364-449-5503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty