NPI 1093864027

Robert S Ellis, MD

Practitioner Trauma Surgery Physician Tyler, TX

Practice location

Address: 910 E Houston St STE 530, Tyler, TX 75702-8369
Phone: (903) 531-5560
Mailing address: PO Box 846098, Dallas, TX 75284-6098

Registered specialties (2)

Trauma Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0127X Licence M1656 (TX)

Other Surgery providers in Texas →

Surgical Critical Care Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0102X Licence M1656 (TX)

Registry record

NPI: 1093864027
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2007
Record last updated: 8 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.