Elite Functional Health PLLC
NPI 1104447101ActiveOrganization· Nurse Practitioner· McAllen, TX
Nurse Practitioner in McAllen, Texas, registered in NPPES in April 2020. The authorized official on file is Pablo Tagle, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104447101 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2020 |
| Last updated in NPPES | Jul 7, 2022 |
| Certified by provider | Jul 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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