James B Ellis Mdpa

LBN: James B Ellis Mdpa
James B Ellis Mdpa is an health care organization with primary practice located at 12446 West Ave Ste 200, San Antonio TX 78216-2517. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. James B Ellis Mdpa can be contacted via phone (210) 525-1668, or through Ellis, James B via phone (210) 525-1668.

Contact Information

Primary practice address
12446 West Ave Ste 200 San Antonio TX 78216-2517
Phone: (210) 525-1668
Fax: (210) 525-1669
Website:
Map and Directions
Authorized official contact:
Name: Ellis, James B Doctor of Medicine (MD)
Phone: (210) 525-1668

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1568824209
LBN Legal business name James B Ellis Mdpa
DBA Doing business as
Authorized official Ellis, James B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2016
Last updated Sep 27th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568824209 NPPES
Texas MEDICAID 356652301

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