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NPI Code Detail

MEDICARE: DR. CHRISTOPHER JAMES ELLIS MD

MEDICARE: DR. CHRISTOPHER JAMES 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
1207R00000XInternal Medicine PhysicianK3575TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18F0713OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841215282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER JAMES ELLIS MD
Provider Business Mailing Address
First Line : 3980 STATE SCHOOL RD
Second Line :
City : DENTON
State : TX
Zip : 76210-8823
Country : US
Telephone Number : 940-891-0342
Fax Number :
Provider Business Practice Location Address
First Line : 540 CHAPEL DR
Second Line :
City : MEXIA
State : TX
Zip : 76667-3490
Country : US
Telephone Number : 254-562-2821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 03/06/2018

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Directions to “ DR. CHRISTOPHER JAMES ELLIS MD” Practice Location

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