Individual
MATTHEW DAVID ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 300, AUSTIN, TX 78723-3077
(512) 478-8116
(512) 478-9368
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 300, AUSTIN, TX 78723-3077
(512) 478-8116
(512) 478-9368
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Q7037
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
Q7037
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Q7037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3581332-01
—
TX
05
—
3581332-02
—
TX
05
—
3581332-03
—
TX
05
—
3581332-04
—
TX
Enumeration date
06/01/2010
Last updated
07/26/2016
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