Individual
CLYDE NEAL ELLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2435 FIRE MESA ST STE 110A, LAS VEGAS, NV 89128-9009
(725) 200-3242
(702) 664-3242
Mailing address
2435 FIRE MESA ST, # 110A, LAS VEGAS, NV 89128-9009
(702) 853-3300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35220
WV
208600000X
Surgery Physician
Primary
R8884
TX
208C00000X
Colon & Rectal Surgery Physician
19367
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093762908
—
NV
Enumeration date
05/27/2006
Last updated
07/10/2025
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