Individual
DR. DAVID DALE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
(210) 921-6615
Mailing address
720 PLEASANTON RD, SAN ANTONIO, TX 78214-1306
(210) 921-3800
(210) 921-6615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098614304
—
TX
Enumeration date
10/31/2005
Last updated
02/01/2010
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