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ELITE WELLNESS CLINIC PLLC
NPI 1508692625
Nurse Practitioner - Family in Desoto, TX

Active since September 13, 2024
104 LION ST STE C, DESOTO, TX 75115(972) 217-0881 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, Sep 13, 2024 (2 updates tracked since 2024).

About Elite Wellness Clinic Pllc NPPES

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

ELITE WELLNESS CLINIC PLLC (NPI 1508692625) is a healthcare organization registered as a family in Desoto, Texas and active in the NPI registry since September 2024. The organization lists Folake-tolani Catherine Iheanacho, Owner, as its authorized official.

NPPES Registry Identity

NPI1508692625
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELITE WELLNESS CLINIC PLLC
Location Address104 LION ST STE CDesoto, TX 75115-5071
Mailing Address104 Lion St Ste CDesoto, TX 75115-5071 · (972) 217-0881
Phone(972) 217-0881
Organization SubpartNo
Authorized OfficialFolake-tolani Catherine IheanachoOwner · (972) 217-0881
Enumeration DateSeptember 13, 2024
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1508692625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
104 LION ST STE C, Desoto, TX 75115
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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 Wellness Clinic PLLC's NPI number?

The NPI number for Elite Wellness Clinic PLLC is 1508692625. It was assigned to this organization in the NPPES registry on September 13, 2024.

Where is Elite Wellness Clinic PLLC located?

Elite Wellness Clinic PLLC is located at 104 Lion St Ste C, Desoto, TX 75115. The listed phone number is (972) 217-0881.

What is Elite Wellness Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Elite Wellness Clinic PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Elite Wellness Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elite Wellness Clinic PLLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.