Organization
BIS COMMUNITY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ELLIS FNP (OWNDER)
(512) 454-5911
Entity
Organization
Contact information
Practice address
22140 HIGHWAY 90 N, BEDIAS, TX 77831-5470
(512) 454-5911
Mailing address
22140 HIGHWAY 90 N, BEDIAS, TX 77831-5470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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