Individual
MR. DAVID EUGENE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 MEMORIAL BLVD, KERRVILLE, TX 78028-5819
(830) 896-2020
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(617) 210-5300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
819963
TX
163WG0600X
Gerontology Registered Nurse
819963
TX
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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