Ellis, Randy Kyle
Ellis, Randy Kyle is an sole proprietor health care provider with primary practice located at 2015 Broadway St , Pearland TX 77581-5698. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Ellis, Randy Kyle can be contacted via phone (281) 485-6003.Contact Information
Primary practice address
2015 Broadway St
Pearland TX 77581-5698
Phone: (281) 485-6003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 15404 | Texas |
Profile Details
| NPI number | 1487823191 |
|---|---|
| LBN Legal business name | Ellis, Randy Kyle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2008 |
| Last updated | Feb 27th, 2008 - about 17 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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