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Individual

DR. PAUL ROSCOE ELLIS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 GASTON AVE STE 450, DALLAS, TX 75246-1904
(214) 823-5351
(214) 823-2825
Mailing address
3600 GASTON AVE STE 450, DALLAS, TX 75246-1904
(214) 823-5351
(214) 823-2825

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G3329
TX

Other

Enumeration date
07/17/2006
Last updated
11/17/2010
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