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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