Individual
DR. JAMES BRANT ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2517
(210) 525-1668
(210) 525-1669
Mailing address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2517
(210) 525-1668
(210) 525-1669
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E4319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102043003
—
TX
05
—
102043005
—
TX
01
—
8F7403
BCBS
TX
Enumeration date
02/08/2006
Last updated
06/14/2016
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