Individual
DR. MATTHEW J ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
6620 MAIN ST, SUITE 1350, HOUSTON, TX 77030-2348
(713) 798-1999
(713) 798-1990
Mailing address
1 BAYLOR PLZ, BCM 600, HOUSTON, TX 77030-3411
(713) 798-1847
(713) 798-1642
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
Q2126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
904430183
—
MO
Enumeration date
07/25/2006
Last updated
10/24/2014
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