Provider Demographics
NPI:1295284719
Name:ELITE WOMENS HEALTHCARE PLLC
Entity type:Organization
Organization Name:ELITE WOMENS HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROJINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JASANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-922-0447
Mailing Address - Street 1:4640 9TH AVE
Mailing Address - Street 2:101
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-5819
Mailing Address - Country:US
Mailing Address - Phone:409-983-1066
Mailing Address - Fax:
Practice Address - Street 1:4640 9TH AVE
Practice Address - Street 2:101
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-5819
Practice Address - Country:US
Practice Address - Phone:409-983-1066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8372207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty