Individual
ALEXIS ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 PAHMEYER RD, NEW BRAUNFELS, TX 78130
(310) 850-0120
Mailing address
2619 PAHMEYER RD, NEW BRAUNFELS, TX 78130
(310) 850-0120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313879
TX
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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