Robert S Ellis is a Trauma Surgery in Tyler, Texas. Robert S Ellis practices all healthcare services and medical treatments related to Trauma Surgery. 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 | Trauma Surgery |
|---|---|
| Taxonomy | 2086S0127X |
| Licence No | M1656 |
|
Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty |
|
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 Trauma Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0127X.
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.