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Organization

MALATHI ELLIS MD, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MALATHI VISWANATHAN ELLIS MD (PHYSICIAN)
(972) 406-9911
Entity
Organization

Contact information

Practice address
6750 N MACARTHUR BLVD, STE 206, IRVING, TX 75039-2875
(972) 406-9911
(972) 406-9930
Mailing address
6750 N MACARTHUR BLVD, STE 206, IRVING, TX 75039-2875
(972) 406-9911
(972) 406-9930

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M1655
TX

Other

Enumeration date
04/15/2010
Last updated
04/15/2010
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