Individual
DR. JAISHREE RIVA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 E FRONT ST, TYLER, TX 75702-8326
(903) 343-1265
Mailing address
2028 WIRT RD, HOUSTON, TX 77055-1602
(713) 682-7066
(832) 916-2813
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M9998
TX
Other
Enumeration date
02/07/2009
Last updated
12/05/2016
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