Individual
TRACEY L ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
701 E DAVIS ST STE A, CONROE, TX 77301-3102
(936) 525-2800
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-1668
(409) 747-6240
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1054414
TX
Other
Enumeration date
09/20/2021
Last updated
03/26/2026
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