Individual
JAY S. ELLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9819 HUEBNER RD STE 113, SAN ANTONIO, TX 78240-3253
(210) 692-0101
(210) 692-7615
Mailing address
9819 HUEBNER RD STE 113, SAN ANTONIO, TX 78240-3253
(210) 692-0101
(210) 692-7615
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G6069
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G6069
TX
Other
Enumeration date
07/06/2006
Last updated
01/05/2024
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