Ellman Rehab Associates Pa in Mesquite - Specialist

Ellman Rehab Associates Pa - NPI 1912028804

Ellman Rehab Associates Pa is a Specialist in Mesquite, Texas. Ellman Rehab Associates Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ellman Rehab Associates Pa is 1912028804. The last update date is 2013-02-06.

Ellman Rehab Associates Pa's current location address is Po Box 850304, Mesquite, Texas. You can contact this provider via phone number 9726823909 and fax number 9726829289. The mailing address for Ellman Rehab Associates Pa is Po Box 850304, Mesquite, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ellman Rehab Associates Pa
Address Po Box 850304, Mesquite, Texas
Phone Number 9726823909
Fax Number 9726829289
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PYSICIAN O
Authorized Official Name Ellman Gary Michael
Credentials MD
Telephone Number 9726823909

NPI Number Detail

NPI Number 1912028804
Provider Enumeration Date 2007-04-02
Last Updated Date 2013-02-06

Provider Mailing Address Detail

Address Po Box 850304
City Mesquite
State Texas (TX)
Post Code 751850304
Phone Number 9726823909
Fax Number 9726829289

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No J3092
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00Y500 TX MEDICARE GROUP
0074QG TX BCBS
12249902 TX --
J3092 TX STATE LICENCE NUMBER

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FAQs about Ellman Rehab Associates Pa

What is the Ellman Rehab Associates Pa's 1912028804?

The Ellman Rehab Associates Pa's NPI (National Provider Identifier) Number is 1912028804. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ellman Rehab Associates Pa is physically located?

The Ellman Rehab Associates Pa is situated at the following address: Po Box 850304, Mesquite, TX 751850304.

What is the area of specialization for Ellman Rehab Associates Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ellman Rehab Associates Pa is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Ellman Rehab Associates Pa receive its 1912028804 assignment from the Centers for Medicare & Medicaid Services?

The Ellman Rehab Associates Pa was assigned its 1912028804 by the Centers for Medicare & Medicaid Services on 2007-04-02.

When was the information regarding Ellman Rehab Associates Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ellman Rehab Associates Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-02-06.

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