Individual
MR. JAMES SCOTT ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2909 SOUTH HAMPTON RD, SUITE D107, DALLAS, TX 75224
(214) 333-9175
(214) 333-4609
Mailing address
PO BOX 381329, DUNCANVILLE, TX 75138
(214) 333-9175
(214) 333-4609
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0G1383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033172001
WAX
TX
05
—
033172002
—
TX
Enumeration date
01/18/2007
Last updated
08/28/2008
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