Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Primary Care

Organization Primary Care Nurse Practitioner · NPI 1700752979

Elite Primary Care is a Primary Care Nurse Practitioner in Tyler, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5520 Old Bullard Rd Ste 120
Tyler, TX 75703-4361
Phone: (903) 570-0453
Fax: (903) 817-4423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1700752979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Villena — Fnp-C · (903) 570-0453
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address5520 Old Bullard Rd Ste 120, Tyler, TX 75703-4361

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