Ellis, Tracey L
Ellis, Tracey L is an sole proprietor health care provider with primary practice located at 701 E Davis St Ste A , Conroe TX 77301-3102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ellis, Tracey L can be contacted via phone (936) 525-2800.Contact Information
Primary practice address
701 E Davis St Ste A
Conroe TX 77301-3102
Phone: (936) 525-2800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 1054414 | Texas |
Profile Details
NPI number | 1922778943 |
---|---|
LBN Legal business name | Ellis, Tracey L |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 20th, 2021 |
Last updated | Jul 28th, 2022 - about 2 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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