Ellis, B Keith
Ellis, B Keith is an individual health care provider with primary practice located at 16651 Southwest Fwy Mob 1, Suite 400, Sugar Land TX 77479-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ellis, B Keith can be contacted via phone (713) 776-9500.Contact Information
Primary practice address
16651 Southwest Fwy Mob 1, Suite 400
Sugar Land TX 77479-2345
Phone: (713) 776-9500
Fax: (713) 400-7220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L7368 | Texas |
Profile Details
| NPI number | 1821046780 |
|---|---|
| LBN Legal business name | Ellis, B Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Feb 1st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821046780 | NPPES |
| Texas | MEDICAID | 166000306 | |
| Texas | MEDICAID | 166000303 | |
| Texas | MEDICAID | 166000304 | |
| Texas | MEDICAID | 166000305 | |
| Texas | Other | 1821046780 | |
| Texas | Other | P01301854 | |
| Texas | Other | 8DJ181 | |
| Texas | Other | P01086528 |
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