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Organization

J. SCOTT ELLIS, DO, PA

Active
Other names
Texas Plains Women's Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JIMMY SCOTT ELLIS DO (SOLE PROPRIETOR)
(806) 665-9900
Entity
Organization

Contact information

Practice address
3023 PERRYTON PKWY, SUITE 205, PAMPA, TX 79065-2821
(806) 665-9900
(806) 665-9905
Mailing address
3023 PERRYTON PKWY, SUITE 205, PAMPA, TX 79065-2821
(806) 665-9900
(806) 665-9905

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L6229
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0042KD
BLUE CROSS
TX
Enumeration date
03/05/2007
Last updated
07/18/2007
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