Organization
JON M. ELLIS, MD PA
Active
Organization
JON M. ELLIS, MD PA
Active
Other names
Southwest Sports Medicine and Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT ROHRER (BUSINESS MANAGER)
(254) 741-1400
Entity
Organization
Contact information
Practice address
7030 NEW SANGER RD, SUITE 200, WACO, TX 76712-3991
(254) 774-1140
(254) 741-1428
Mailing address
7030 NEW SANGER RD, SUITE 200, WACO, TX 76712-3991
(254) 774-1140
(254) 741-1428
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
J9580
TX
Other
Enumeration date
12/06/2006
Last updated
03/28/2008
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