Ellis, Lee M.

Ellis, Lee M. is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Ellis, Lee M. can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4009
Phone: (713) 792-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X H9323 Texas

Profile Details

NPI number 1952409161
LBN Legal business name Ellis, Lee M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 14th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952409161 NPPES
Texas MEDICAID 100480602

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