Provider Demographics
NPI:1740580919
Name:ELARA HEALTHCARE, LLC
Entity type:Organization
Organization Name:ELARA HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:IVETTE
Authorized Official - Last Name:MORET-BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-736-0963
Mailing Address - Street 1:P. O. BOX 152
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77492-0152
Mailing Address - Country:US
Mailing Address - Phone:832-736-0963
Mailing Address - Fax:832-442-5743
Practice Address - Street 1:702 S PEEK RD STE 3
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3182
Practice Address - Country:US
Practice Address - Phone:832-736-0963
Practice Address - Fax:832-442-5743
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELARA MANAGEMENT GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-22
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center