Individual
DR. JOHN ROBERT ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7802 TARTER AVE, AMARILLO, TX 79121-1700
(806) 352-1456
Mailing address
PO BOX 51509, AMARILLO, TX 79159-1509
(806) 352-1456
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G3328
TX
Other
Enumeration date
05/03/2006
Last updated
07/11/2007
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