# KATHERINE ELLIS MD PA

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

## Provider details

- **NPI number:** 1891103503
- **Authorized official:** KATHERINE LEE ELLIS MD (OWNER)
- **Authorized official phone:** (903) 624-2566

## Contact information

- **Practice address:** 1200 REBA MACENTIRE LN, DENISON, TX 75020-9057
- **Practice address phone:** (903) 465-1857
- **Practice address fax:** (903) 327-8023
- **Mailing address:** PO BOX 837, HOWE, TX 75459-0837
- **Mailing address phone:** (903) 487-2248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | J3091 | TX | Yes |
| 283X00000X | Rehabilitation Hospital | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2014
- **Last updated:** 11/10/2023