| Eric Ellis Dds Pc | |
|
4600 Fairmont Pkwy Suite 204 Pasadena TX 77504-3335 | |
| (281) 991-1361 | |
| (281) 991-9190 |
| Full Name | Eric Ellis Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 4600 Fairmont Pkwy, Pasadena, Texas |
| Authorized Official Name and Position | Eric Joseph Ellis (PRESIDENT) |
| Authorized Official Contact | 2819911361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Ellis Dds Pc 4600 Fairmont Pkwy Suite 204 Pasadena TX 77504-3335 Ph: (281) 991-1361 | Eric Ellis Dds Pc 4600 Fairmont Pkwy Suite 204 Pasadena TX 77504-3335 Ph: (281) 991-1361 |
| NPI Number | 1659590214 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659590214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18175 (Texas) | Primary |
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