Robert S Ellis in Tyler - Surgical Critical Care
Robert S Ellis - NPI 1093864027
Robert S Ellis is a Surgical Critical Care in Tyler, Texas. Robert S Ellis practices all healthcare services and medical treatments related to Surgical Critical Care. The NPI Number for Robert S Ellis is 1093864027. The last update date is 2022-03-08.
Robert S Ellis's current location address is 910 E Houston St, Tyler, Texas. You can contact this provider via phone number 9035315560. The mailing address for Robert S Ellis is 910 E Houston St, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert S Ellis |
|---|---|
| Address | 910 E Houston St, Tyler, Texas |
| Phone Number | 9035315560 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093864027 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2022-03-08 |
Provider Mailing Address Detail
| Address | 910 E Houston St |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757028369 |
| Phone Number | 9035315560 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Critical Care |
|---|---|
| Taxonomy | 2086S0102X |
| Licence No | M1656 |
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Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| TIN PLUS 096 | TX | TRICARE | |
| 178944801 | TX | -- | |
| 86515S | BCBS | ||
| 8BC264 | TX | BCBS OF TEXAS |
Post Comment/ Review Below
What is the Robert S Ellis's 1093864027?
The Robert S Ellis's NPI (National Provider Identifier) Number is 1093864027. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert S Ellis located?
The Robert S Ellis is located at 910 E Houston St, Tyler, TX 757028369.
What is Robert S Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert S Ellis's area of specialization is Surgical Critical Care, and the corresponding taxonomy code that categorizes this field of practice is 2086S0102X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093864027 to Robert S Ellis?
The Centers for Medicare & Medicaid Services originally issued the 1093864027 to Robert S Ellis on 2007-01-09.
When was the Robert S Ellis's information last updated?
The Robert S Ellis's information was last updated on 2022-03-08.