MEDICARE: DAVID S ELLIS MD

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	208800000X	Urology Physician	G3327	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760478150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID S ELLIS MD

Provider Business Mailing Address
First Line	:	PO BOX 120549
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-0549
Country	:	US
Telephone Number	:	817-303-4521
Fax Number	:	817-417-1100

Provider Business Practice Location Address
First Line	:	801 W I-20
Second Line	:	STE 1
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5851
Country	:	US
Telephone Number	:	817-784-0818
Fax Number	:	817-417-1100

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	10/09/2009

Similar Medicare Providers

1669245692 — BRANDON MICHAEL MINTON CRNA
Practice Location Address:

801 W INTERSTATE 20
ARLINGTON, TX
76017-5851

Practice Phone: 817-886-4456
Practice Fax:

1750161238 — DR. ANDREA GUTIERREZ
Practice Location Address:

801 W INTERSTATE 20
ARLINGTON, TX
76017-5851

Practice Phone: 817-886-4456
Practice Fax:

1942296330 — JOHN M HOUSE MD
Practice Location Address:

801 W I-20 , STE 1
ARLINGTON, TX
76017-5851

Practice Phone: 817-784-8268
Practice Fax: 817-417-1150

1659352987 — USMD HOSPITAL AT ARLINGTON, L.P.
Practice Location Address:

801 INTERSTATE 20 W
ARLINGTON, TX
76017-5851

Practice Phone: 817-472-3400
Practice Fax: 817-472-3710

1730166893 — DAVID L SHEPHERD MD
Practice Location Address:

801 W I 20 STE 1
ARLINGTON, TX
76017-5851

Practice Phone: 817-784-8268
Practice Fax: 817-417-1150

1215917695 — DR. JULIUS M GILBERT MD
Practice Location Address:

801 W INTERSTATE 20
ARLINGTON, TX
76017-5851

Practice Phone: 817-472-3400
Practice Fax:

Directions to “ DAVID S ELLIS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.