Ellis G Main Do Pa
LBN: Ellis G Main Do Pa
Ellis G Main Do Pa is an health care organization with primary practice located at 3022 Mckinzie Rd , Corpus Christi TX 78410-2628. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Ellis G Main Do Pa can be contacted via phone (361) 241-6700, or through Main, Ellis Gerard via phone (361) 241-6700.
Contact Information
Primary practice address
3022 Mckinzie Rd
Corpus Christi TX 78410-2628
Phone: (361) 241-6700
Fax:
Website:
Authorized official contact:
Name: Main, Ellis Gerard Doctor of Osteopathy (DO)
Phone: (361) 241-6700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J2176 | Texas |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1851586853 |
|---|---|
| LBN Legal business name | Ellis G Main Do Pa |
| DBA Doing business as | |
| Authorized official | Main, Ellis Gerard Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Aug 15th, 2022 - about 2 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 | 1851586853 | NPPES |
| Texas | MEDICAID | 149471801 |
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