Robert S Ellis
Trauma Surgeon Surgical Critical Care
910 E Houston St Ste 530
Tyler
, Texas 75702-8369
Robert S Ellis
Trauma Surgeon Surgical Critical Care
910 E Houston St Ste 530
Tyler
, Texas 75702-8369
(903) 324-6450
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About
Features
Specialties
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Robert S Ellis
- Po Box 846098
- Dallas, TX
- Zip : 75284-6098
- Phone : (903) 324-6450
Second Address
- Robert S Ellis
- 910 E Houston St Ste 530
- Tyler, TX
- Zip : 75702-8369
- Phone : (903) 531-5560
Reviews
FAQs
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Is Robert S Ellis board certified?
What type of doctor is Robert S Ellis
In what state does Robert S Ellis practice in?
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What is Robert S Ellis ’s gender?
Is Robert S Ellis a sole practitioner?
Is Robert S Ellis accepting new patients?
What languages does Robert S Ellis speak?
Does Robert S Ellis accept insurance?
Does Robert S Ellis offers telemedicine?
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Does Robert S Ellis have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0102X | Surgical Critical Care | M1656 | TX |
| Y | 2086S0127X | Trauma Surgeon | M1656 | TX |
National Provider Identifier
| NPI | 1093864027 |
|---|---|
| Provider Name | Robert S Ellis |
| First Address | Dallas, TX 75284-6098 |
| Second Address | Tyler, TX 75702-8369 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 12/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 178944801 | (05) | TX |
| 86515S | BCBS (01) | |
| 8BC264 | BCBS OF TEXAS (01) | TX |
| H80055 | (02) | TX |
| TIN PLUS 096 | TRICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.