Organization
ELLISON&ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN CLAY ELLISON (CHIEF EXECUTIVE OFFICER)
(817) 944-4637
Entity
Organization
Contact information
Practice address
1104 CANYON RDG, CEDAR HILL, TX 75104-5424
(817) 944-4637
(817) 542-0575
Mailing address
1104 CANYON RDG, CEDAR HILL, TX 75104-5424
(817) 944-4637
(817) 542-0575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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