Individual
ASHTON CAMERON ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, INTERNAL MEDICINE, SHREVEPORT, LA 71103-4228
(318) 813-2528
(318) 813-2528
Mailing address
3434 SWISS AVE STE 200, DALLAS, TX 75204-6251
(469) 800-7050
(469) 800-7060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10061672
TX
207RG0100X
Gastroenterology Physician
Primary
S6170
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
10/29/2025
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