Ellis John Civello in Kerrville - Geriatric Psychiatry
Ellis John Civello - NPI 1063507432
Ellis John Civello is a Geriatric Psychiatry in Kerrville, Texas. Ellis John Civello practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Ellis John Civello is 1063507432. The last update date is 2007-07-08.
Ellis John Civello's current location address is 721 Thompson Drive, Kerrville, Texas. You can contact this provider via phone number 8308962211. The mailing address for Ellis John Civello is 721 Thompson Drive, Kerrville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellis John Civello |
|---|---|
| Address | 721 Thompson Drive, Kerrville, Texas |
| Phone Number | 8308962211 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063507432 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 721 Thompson Drive |
|---|---|
| City | Kerrville |
| State | Texas (TX) |
| Post Code | 78028 |
| Phone Number | 8308962211 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Psychiatry |
|---|---|
| Taxonomy | 2084P0805X |
| Licence No | G7046 |
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Definition: Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 139933924 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ellis John Civello by the Centers for Medicare & Medicaid Services?
The Ellis John Civello has been issued the NPI (National Provider Identifier) 1063507432, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ellis John Civello's facilities are situated?
The facilities of Ellis John Civello are physically located at the following address: 721 Thompson Drive, Kerrville, TX, 78028.
What is Ellis John Civello's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ellis John Civello is Geriatric Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0805X.
On what date did Ellis John Civello receive its 1063507432 assignment from the Centers for Medicare & Medicaid Services?
The Ellis John Civello was assigned its 1063507432 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ellis John Civello most recently updated or revised?
The details related to Ellis John Civello, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.