Provider Demographics
NPI:1255542452
Name:ELITE ENDEAVORS, INC.
Entity type:Organization
Organization Name:ELITE ENDEAVORS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, MI
Authorized Official - Phone:972-233-2639
Mailing Address - Street 1:4950 KELLER SPRINGS RD
Mailing Address - Street 2:STE. 430
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-6211
Mailing Address - Country:US
Mailing Address - Phone:972-233-2639
Mailing Address - Fax:
Practice Address - Street 1:4950 KELLER SPRINGS RD
Practice Address - Street 2:STE. 430
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-6211
Practice Address - Country:US
Practice Address - Phone:972-233-2639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXME0222225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty