Individual
BRUCE A ELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6506 RAWDON STREAM LN, SUGAR LAND, TX 77479-6834
(310) 422-2958
Mailing address
6506 RAWDON STREAM LN, SUGAR LAND, TX 77479-6834
(310) 422-2958
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
45552042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45552042
—
TX
Enumeration date
03/01/2022
Last updated
07/08/2022
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