NPI 1376934778
Larry D Ellis
Practice location
- Address
- 2215 Steep Pine Trl, Fresno, TX 77545-8831
- Phone
- (832) 362-1350
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1376934778
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Feb 2015
- Record last updated
- 7 Feb 2015
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.