Individual
DR. THOMAS EDWARD ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
12301 MAIN ST, THE MENNINGER CLINIC, HOUSTON, TX 77035-6207
(713) 275-5527
Mailing address
12301 MAIN ST., THE MENNINGER CLINIC, HOUSTON, TX 77035
(713) 275-5527
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34041
TX
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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