Organization
ELLITE MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE NENE OTI (PRESIDENT)
(214) 718-0650
Entity
Organization
Contact information
Practice address
2664 WHISPERING TRL, LITTLE ELM, TX 75068-6901
(214) 718-0650
Mailing address
2664 WHISPERING TRL, LITTLE ELM, TX 75068-6901
(214) 718-0650
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03161
TX
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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