Individual
MRS. CAROLYN JEAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH SERVICES TECH
Contact information
Practice address
2901 TURTLE CREEK DR, ATTN: HS CAROLYN ELLIS, PORT ARTHUR, TX 77642-8056
(409) 723-6545
Mailing address
2901 TURTLE CREEK DR, ATTN: HS CAROLYN ELLIS, PORT ARTHUR, TX 77642-8056
(409) 723-6545
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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