Organization
SOUTHWEST DALLAS ORTHOPEDIC ASST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SCOTT ELLIS DO (OWNER PROVIDER)
(214) 333-9175
Entity
Organization
Contact information
Practice address
2909 SOUTH HAMPTON, SUITE D107, DALLAS, TX 75224
(214) 333-9175
(214) 330-4609
Mailing address
PO BOX 381329, DUNCANVILLE, TX 75138-1329
(214) 333-9175
(214) 330-4609
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175763502
—
TX
Enumeration date
01/24/2007
Last updated
08/28/2008
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