Elis Medical Corporation
LBN: Elis Medical Corporation
Elis Medical Corporation is an health care organization with primary practice located at 5207 Heritage Ave , Colleyville TX 76034-5915. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Medical. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Elis Medical Corporation can be contacted via phone (817) 355-8000, or through Bullard, Jeffrey M via phone (817) 355-8000.
Contact Information
Primary practice address
5207 Heritage Ave
Colleyville TX 76034-5915
Phone: (817) 355-8000
Fax: (817) 553-3536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1912032384 |
|---|---|
| LBN Legal business name | Elis Medical Corporation |
| DBA Doing business as | |
| Authorized official | Bullard, Jeffrey M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jan 20th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912032384 | NPPES |
| Texas | Other | 7300217 | AETNA |
| Texas | MEDICAID | 079735901 | AETNA |
| Texas | Other | 2517940 | AETNA |
| Texas | Other | 6401723 | AETNA |
| Texas | Other | 0011CK | AETNA |
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