EASTERN ELM, PLLC – NPI #1639808538
Clinic/Center

EASTERN ELM, PLLC is an AHC clinic located in GARLAND, TX. NPPES has assigned the NPI number 1639808538 to EASTERN ELM, PLLC on June 07, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN ELM, PLLC below.

NPI Profile for
EASTERN ELM, PLLC

NPI Number
1639808538
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTERN ELM, PLLC
Primary location
728 WEST CENTERVILLE ROAD
GARLAND, TX 75041
Phone: (817) 566-1232 Fax:
Mailing address
1005 S CROWLEY RD STE Q
CROWLEY, TX 76036-3698
Phone: (817) 566-1232 Fax:
Organization Subpart
No
Authorized Official
JORDAN TYLER
SENIOR REVENUE CYCLE ADMINISTRATOR
Phone: (817) 566-1232
Updated
Certification Date
May 26, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.