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ELITE SPINE SERVICES PLLC
NPI 1023607454
Physician Assistant - Surgical in Longview, TX

Active since January 11, 2021
700 E MARSHALL AVE, LONGVIEW, TX 75601(817) 756-8236 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2021, Jan 11, 2021 (2 updates tracked since 2021).

About Elite Spine Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE SPINE SERVICES PLLC (NPI 1023607454) is a healthcare organization registered as a surgical in Longview, Texas and active in the NPI registry since January 2021. The organization lists Rekha Wagle, Npi Administrator, as its authorized official.

NPPES Registry Identity

NPI1023607454
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameELITE SPINE SERVICES PLLC
Location Address700 E MARSHALL AVELongview, TX 75601-5580
Mailing Address2140 Hall Johnson Rd, 102 # 128Grapevine, TX 76051-8753 · (817) 756-8232
Phone(817) 756-8236
Organization SubpartNo
Authorized OfficialRekha WagleNpi Administrator · (817) 756-8232
Enumeration DateJanuary 11, 2021
Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1023607454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
700 E MARSHALL AVE, Longview, TX 75601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZEHRA HUSSAIN DO
Internal Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-2000
KELLY OKPAGU MD
Student in an Organized Health Care Education/Training Program
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-2000
JONATHAN J KRAL MD
Emergency Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-2000
JENNIFER BORREGO
Nurse Practitioner
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-1488
VENKATA SANDEEP KORIPALLI M.D.,
Hospitalist
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-3588
JOHN ODNEAL MD
Hospitalist
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-5171
MATTHEW PORTER MD
Emergency Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-2445
YASHASHREE A VEGI MD
Internal Medicine
700 E MARSHALL AVE
LONGVIEW, TX 75601
Gregg County (903) 315-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Spine Services PLLC's NPI number?

The NPI number for Elite Spine Services PLLC is 1023607454. It was assigned to this organization in the NPPES registry on January 11, 2021.

Where is Elite Spine Services PLLC located?

Elite Spine Services PLLC is located at 700 E Marshall Ave, Longview, TX 75601. The listed phone number is (817) 756-8236.

What is Elite Spine Services PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Elite Spine Services PLLC was last updated on January 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.