Provider Demographics
NPI:1346482205
Name:ELITE MONITORING PROFESSIONAL
Entity Type:Organization
Organization Name:ELITE MONITORING PROFESSIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-975-8226
Mailing Address - Street 1:8500 PRAIRIE DAWN DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-5350
Mailing Address - Country:US
Mailing Address - Phone:817-975-8226
Mailing Address - Fax:817-306-5294
Practice Address - Street 1:8500 PRAIRIE DAWN DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-5350
Practice Address - Country:US
Practice Address - Phone:817-975-8226
Practice Address - Fax:817-306-5294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty