Christopher Ellis

NPI 1821012097 - Optometrist - 152W00000X

NPI Details
NPI 1821012097
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3111 S 31ST ST
SUITE3305
TEMPLE TX, 76502-1956, US
Phone (254) 771-5263
Fax
Business Location
3111 S 31ST ST
SUITE3305
TEMPLE TX, 76502-1956, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 5240TG
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According to our database, Dr. Christopher Ellis NPI is 1821012097, taxonomy code is 152W00000X and license number is 5240TG, license state is located at Texas. Christopher Ellis physically located at 3111 S 31st St, Temple TX, 76502-1956. NPI Number Christopher Ellis has the Individual type.

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1821012097 NPI number is provided on an as is basis without warranty of any kind. 1821012097 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Ellis are for informational purposes only.