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

Elite Wellness Clinic PLLC

Organization Family Nurse Practitioner · NPI 1508692625

Elite Wellness Clinic PLLC is a Family Nurse Practitioner in Desoto, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Lion St Ste C
Desoto, TX 75115-5071
Phone: (972) 217-0881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1508692625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Folake-Tolani Iheanacho — Owner · (972) 217-0881
NPI enumeratedSeptember 13, 2024
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address104 Lion St Ste C, Desoto, TX 75115-5071

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