Ellis John Civello MD

NPI 1063507432 - Psychiatry & Neurology - 2084P0805X

NPI Details
NPI 1063507432
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
721 THOMPSON DRIVE
KERRVILLE TX, 78028, US
Phone (830) 896-2211
Fax
Business Location
721 THOMPSON DRIVE
KERRVILLE TX, 78028, US
Phone (830) 896-2211
Fax
Toxanomy
Taxonomy Code 2084P0805X
License State Texas
License Number G7046
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According to our database, Ellis John Civello MD NPI is 1063507432, taxonomy code is 2084P0805X and license number is G7046, license state is located at Texas. Ellis John Civello MD physically located at 721 Thompson Drive, Kerrville TX, 78028. NPI Number Ellis John Civello MD has the Individual type.

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1063507432 NPI number is provided on an as is basis without warranty of any kind. 1063507432 is maintained by the National Plan & Provider Enumeration System. The contents of Ellis John Civello MD are for informational purposes only.