Provider Demographics
NPI:1982189288
Name:ELITE HEALTHCARE & THERAPY
Entity Type:Organization
Organization Name:ELITE HEALTHCARE & THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-272-6899
Mailing Address - Street 1:11710 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4000
Mailing Address - Country:US
Mailing Address - Phone:281-272-6899
Mailing Address - Fax:832-770-4572
Practice Address - Street 1:11710 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4000
Practice Address - Country:US
Practice Address - Phone:281-272-6899
Practice Address - Fax:832-770-4572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty