OrganizationActive
Elite Medical Credentialing & Consulting Services
NPI 1780193045 · Exclusive Provider Organization · Missouri City, TX
Provider details
- NPI number
- 1780193045
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Lita Willis, Owner/Senior Service Representative
- License
- B566406 (TX)
Practice location
1411 Cherry Springs Ct
Missouri City, TX 77459-3469
Phone: (281) 753-6936
Fax: (281) 753-6936
Mailing address
Po Box 57712
Webster, TX 77598-7712
Registry dates
- Enumerated
- 2017-09-29
- Last updated
- 2017-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.