MEDICARE: RICHARD FRANK ELLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	H9908	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972502896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD FRANK ELLER M.D.

Provider Business Mailing Address
First Line	:	18800 PRESTON RD STE 310
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-8573
Country	:	US
Telephone Number	:	214-619-5225
Fax Number	:	972-612-2495

Provider Business Practice Location Address
First Line	:	18800 PRESTON RD STE 310
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-8573
Country	:	US
Telephone Number	:	214-619-5225
Fax Number	:	972-612-2495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/19/2015

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