Mark Ryan Elliott in Midland - Physician Assistant
Mark Ryan Elliott - NPI 1174609424
Mark Ryan Elliott is a Physician Assistant in Midland, Texas. Mark Ryan Elliott practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Ryan Elliott is 1174609424. The last update date is 2012-07-09.
Mark Ryan Elliott's current location address is 3321 Neely Ave Apt L1, Midland, Texas. You can contact this provider via phone number 4326898479. The mailing address for Mark Ryan Elliott is 3321 Neely Ave Apt L1, Midland, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Ryan Elliott |
---|---|
Address | 3321 Neely Ave Apt L1, Midland, Texas |
Phone Number | 4326898479 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1174609424 |
---|---|
Provider Enumeration Date | 2006-10-30 |
Last Updated Date | 2012-07-09 |
Provider Mailing Address Detail
Address | 3321 Neely Ave Apt L1 |
---|---|
City | Midland |
State | Texas (TX) |
Post Code | 797075830 |
Phone Number | 4326898479 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | PA05006 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
280874301 | TX | -- | |
P01030219 | TX | RAILROAD |
Post Comment/ Review Below
What is the Mark Ryan Elliott's 1174609424?
The Mark Ryan Elliott's NPI (National Provider Identifier) Number is 1174609424. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Ryan Elliott located?
The Mark Ryan Elliott is located at 3321 Neely Ave Apt L1, Midland, TX 797075830.
What is the area of specialization for Mark Ryan Elliott, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Ryan Elliott is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Mark Ryan Elliott receive the assignment of its 1174609424 from the Centers for Medicare & Medicaid Services?
The Mark Ryan Elliott was issued its 1174609424 by the Centers for Medicare & Medicaid Services on 2006-10-30.
When was the information pertaining to Mark Ryan Elliott most recently updated or revised?
The details related to Mark Ryan Elliott, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY