# ELLIS G MAIN DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851586853
- **Authorized official:** DR. ELLIS GERARD MAIN D.O. (OWNER)
- **Authorized official phone:** (361) 387-9233

## Contact information

- **Practice address:** 3022 MCKINZIE RD, CORPUS CHRISTI, TX 78410-2628
- **Practice address phone:** (361) 241-6700
- **Mailing address:** PO BOX 10426, CORPUS CHRISTI, TX 78460-0426
- **Mailing address phone:** (361) 387-9233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | J2176 | TX | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 10/16/2025