Wilson, Ellen Elizabeth
Wilson, Ellen Elizabeth is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Wilson, Ellen Elizabeth can be contacted via phone (214) 645-3888.Contact Information
Primary practice address
5323 Harry Hines Blvd
Dallas TX 75390-7208
Phone: (214) 645-3888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | H1030 | Texas |
Profile Details
| NPI number | 1043277510 |
|---|---|
| LBN Legal business name | Wilson, Ellen Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Apr 28th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043277510 | NPPES |
| Texas | MEDICAID | 04344302 |
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