Individual
LINDA SUZANNE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4845 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-4956
(915) 215-4770
Mailing address
440 RAYNOLDS ST, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A100038
CA
207ZP0213X
Pediatric Pathology Physician
A100038
CA
207ZP0213X
Pediatric Pathology Physician
Primary
S9678
TX
Other
Enumeration date
05/26/2006
Last updated
03/03/2021
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