✓ Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) (207V00000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

ELITE SURGICAL, P.C. (NPI #1063001428)

Obstetrics & Gynecology • JUSTIN, TX • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1063001428
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207V00000X (CMS 16)
Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
Box 32 Service Location & ZIP+4
13521 MANE CT, JUSTIN, TX, 76247-1110
✓ 9-Digit EDI 837 ZIP+4 (76247-1110)
Practice Phone & Referral Fax
Fax: (940) 648-1293
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063001428 (ELITE SURGICAL, P.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1063001428 (NPI-2 Organization / Facility)
Provider / Legal NameELITE SURGICAL, P.C.
Plain-English SpecialtyBoard-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
NUCC Code: 207V00000X (Obstetrics & Gynecology)
Certifying / Licensing BodyAmerican Board of Obstetrics and Gynecology (ABOG)
Practice Location Address13521 MANE CT, JUSTIN, TX, 76247-1110
Practice Telephone / FaxTel: (817) 917-5651 | Fax: (940) 648-1293
Administrative Mailing Address13521 MANE CT, JUSTIN, TX, 76247-1110
Enumeration & Last SyncEnumerated: 2021-01-11 | CMS Record Updated: 2021-01-11
Authorized OfficialCHRISTINE WALKER (President/Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

13521 MANE CT, JUSTIN, TX, 76247-1110

🗺️ Open in Google Maps 🏥 More Providers in JUSTIN

Plain-English Taxonomy & CMS Crosswalk (207V00000X)

What Does Taxonomy Code 207V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ELITE SURGICAL, P.C.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
  • Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
  • Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy
Common Therapeutic Classes:
  • Prenatal Folic Acid, Iron & Progesterone Supplementation
  • Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
  • Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207VX0201X — Obstetrics & Gynecology, Gynecologic Oncology
Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
State: N/A | License: Verified | Primary: Secondary
207X00000X — Orthopaedic Surgery
Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
State: N/A | License: Verified | Primary: Secondary
208600000X — Surgery
Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
State: N/A | License: Verified | Primary: Secondary
163WR0006X — Registered Nurse, Registered Nurse First Assistant
Plain English: Licensed & Credentialed Registered Nurse, Registered Nurse First Assistant
State: N/A | License: Verified | Primary: Secondary
208800000X — Urology
Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
State: N/A | License: Verified | Primary: Secondary
207V00000X — Obstetrics & Gynecology
Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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