Mrs Melanie Jane Ellis, PA | |
359 Medical Group, 221 Thrid Street West, Bldg 1040, Jbsa-randolph, TX 78150 | |
(210) 652-8544 | |
Not Available |
Full Name | Mrs Melanie Jane Ellis |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 359 Medical Group, Jbsa-randolph, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043395874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA10003433 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Mrs Melanie Jane Ellis, PA 145 Clapboard Run, Cibolo, TX 78108-4334 Ph: (210) 563-9646 | Mrs Melanie Jane Ellis, PA 359 Medical Group, 221 Thrid Street West, Bldg 1040, Jbsa-randolph, TX 78150 Ph: (210) 652-8544 |