Bruce Elkin Ellerin in Tyler - Radiation Oncology
Bruce Elkin Ellerin - NPI 1285635052
Bruce Elkin Ellerin is a Radiation Oncology in Tyler, Texas. Bruce Elkin Ellerin practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Bruce Elkin Ellerin is 1285635052. The last update date is 2019-04-19.
Bruce Elkin Ellerin's current location address is 721 Clinic Dr, Tyler, Texas. You can contact this provider via phone number 9035356312 and fax number 9035356330. The mailing address for Bruce Elkin Ellerin is 721 Clinic Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Elkin Ellerin |
|---|---|
| Address | 721 Clinic Dr, Tyler, Texas |
| Phone Number | 9035356312 |
| Fax Number | 9035356330 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285635052 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2019-04-19 |
Provider Mailing Address Detail
| Address | 721 Clinic Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012043 |
| Phone Number | 9035356312 |
| Fax Number | 9035356330 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | L8679 |
|
Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1825753 | AETNA | ||
| 1984247-03 | TX | -- | |
| 1984247-04 | TX | -- | |
| 10046338 | AMERICHOICE | ||
| 3K8111 | HEALTHNET | ||
| P3883771 | OXFORD |
Post Comment/ Review Below
What is the Bruce Elkin Ellerin's unique identification number?
The Bruce Elkin Ellerin has been assigned the NPI (National Provider Identifier) Number 1285635052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Bruce Elkin Ellerin is located?
The Bruce Elkin Ellerin is situated at the following address: 721 Clinic Dr, Tyler, TX, 757012043.
What is Bruce Elkin Ellerin'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 Bruce Elkin Ellerin is Radiation Oncology, and the taxonomy classification code that categorizes this area of expertise is 2085R0001X.
On what date did Bruce Elkin Ellerin receive its 1285635052 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Elkin Ellerin was assigned its 1285635052 on 2005-08-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Bruce Elkin Ellerin last refreshed?
The information related to the Bruce Elkin Ellerin, including its address, specialty, and other relevant details, was last updated on 2019-04-19.
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