Randy Kyle Ellis in Pearland - Orthodontics And Dentofacial Orthopedics
Randy Kyle Ellis - NPI 1487823191
Randy Kyle Ellis is a Orthodontics And Dentofacial Orthopedics in Pearland, Texas. Randy Kyle Ellis practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Randy Kyle Ellis is 1487823191. The last update date is 2008-02-27.
Randy Kyle Ellis's current location address is 2015 Broadway St, Pearland, Texas. You can contact this provider via phone number 2814856003. The mailing address for Randy Kyle Ellis is 2015 Broadway St, Pearland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Kyle Ellis |
|---|---|
| Address | 2015 Broadway St, Pearland, Texas |
| Phone Number | 2814856003 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1487823191 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 2015 Broadway St |
|---|---|
| City | Pearland |
| State | Texas (TX) |
| Post Code | 775815698 |
| Phone Number | 2814856003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 15404 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Randy Kyle Ellis by the Centers for Medicare & Medicaid Services?
The Randy Kyle Ellis has been issued the NPI (National Provider Identifier) 1487823191. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Randy Kyle Ellis is located?
The Randy Kyle Ellis is situated at the following address: 2015 Broadway St, Pearland, TX, 775815698.
What is Randy Kyle Ellis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randy Kyle Ellis is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
When was the Randy Kyle Ellis's 1487823191 issued?
The Randy Kyle Ellis's 1487823191 was issued on 2008-02-27.
As of what date were the details related to Randy Kyle Ellis most recently updated or revised?
The information pertaining to Randy Kyle Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-27.
NPI Number: 1982607784
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