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Organization
JAMES B ELLIS MDPA
Active
Organization
JAMES B ELLIS MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B ELLIS MD (MD/OWNER)
(210) 525-1668
Entity
Organization
Contact information
Practice address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2517
(210) 525-1668
(210) 525-1669
Mailing address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2517
(210) 525-1668
(210) 525-1669
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356652301
—
TX
Enumeration date
03/22/2016
Last updated
09/27/2016
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