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PRO-ELITE MANAGEMENT SERVICES CORP
NPI 1922814250
General Practice in Katy, TX

Active since December 11, 2024CLIA 45D2316695 · Waiver
21685 KINGSLAND BLVD, KATY, TX 77450(346) 594-2104(346) 594-2103 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pro-elite Management Services Corp NPPES

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

PRO-ELITE MANAGEMENT SERVICES CORP (NPI 1922814250) is a healthcare organization registered as a general practice in Katy, Texas and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Jose Rivas, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1922814250
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRO-ELITE MANAGEMENT SERVICES CORP
Location Address21685 KINGSLAND BLVDKaty, TX 77450-2512
Mailing Address21685 Kingsland BlvdKaty, TX 77450-2512 · (346) 594-2104 · Fax (346) 594-2103
Phone(346) 594-2104
Fax(346) 594-2103
Organization SubpartNo
Authorized OfficialJose RivasMedical Director · (941) 779-4870
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 10, 2024
✔ NPI 1922814250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
21685 KINGSLAND BLVD, Katy, TX 77450
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2316695

Pro-Elite Management Services, Corp · Katy, TX
Active · expires Jan 9, 2027
CLIA Number45D2316695
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorEhrentraud Johanna Eichelbaum MD
Laboratory Phone(346) 594-2104
Laboratory LocationPro-Elite Management Services, Corp21685 Kingsland Blvd, Katy, TX 77450
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

EHRENTRAUD JOHANNA EICHELBAUM M.D.
General Practice
21685 KINGSLAND BLVD
KATY, TX 77450
Harris County (346) 594-2104
DR. LOUIS D ANDERSON II DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
21685 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 578-0008
PANAGIOTIS KYTEAS DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
21685 KINGSLAND BLVD
KATY, TX 77450
Harris County (281) 578-0008

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 Pro-Elite Management Services Corp's NPI number?

The NPI number for Pro-Elite Management Services Corp is 1922814250. It was assigned to this organization in the NPPES registry on December 11, 2024.

Where is Pro-Elite Management Services Corp located?

Pro-Elite Management Services Corp is located at 21685 Kingsland Blvd, Katy, TX 77450. The listed phone number is (346) 594-2104.

What is Pro-Elite Management Services Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Pro-Elite Management Services Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2316695) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pro-Elite Management Services Corp was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.