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Individual

DR. ELLIS GERARD MAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
327 W AVENUE J, ROBSTOWN, TX 78380-2207
(361) 387-9233
(361) 387-8992
Mailing address
PO BOX 10426, CORPUS CHRISTI, TX 78460-0426
(361) 387-9233
(361) 387-8992

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J2176
TX
261QR1300X
Rural Health Clinic/Center
J2176
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137311011
TX
Enumeration date
07/08/2005
Last updated
10/16/2025
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