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Individual

PAUL M DENTE ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
DO2715
NV
207VX0000X
Obstetrics Physician
U8317
TX

Other

Enumeration date
06/23/2015
Last updated
12/27/2023
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