Organization
ELLIS PEDIATRICS
Active
Other names
North Austin Pediatrics, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGHTON ELIZABETH ELLIS M.D. (OWNER/PRESIDENT)
(512) 491-5125
Entity
Organization
Contact information
Practice address
12201 RENFERT WAY, SUITE 110, AUSTIN, TX 78758-5354
(512) 491-5125
(512) 491-8521
Mailing address
12201 RENFERT WAY, SUITE 110, AUSTIN, TX 78758-5354
(512) 491-5125
(512) 491-8521
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K2457
TX
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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