Individual
IAN APOLLOS JUSTL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 879-6799
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 879-6799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q8730
TX
Other
Enumeration date
03/27/2013
Last updated
08/03/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us