Suzanne E Ellison Md Professional Association | |
200 W Windcrest St Fredericksburg TX 78624-4408 | |
(830) 997-0330 | |
Not Available |
Full Name | Suzanne E Ellison Md Professional Association |
---|---|
Speciality | Family Medicine |
Location | 200 W Windcrest St, Fredericksburg, Texas |
Authorized Official Name and Position | Suzanne Ellison (PRESIDENT) |
Authorized Official Contact | 8309970330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Suzanne E Ellison Md Professional Association 200 W Windcrest St Fredericksburg TX 78624-4408 Ph: (830) 997-0330 | Suzanne E Ellison Md Professional Association 200 W Windcrest St Fredericksburg TX 78624-4408 Ph: (830) 997-0330 |
NPI Number | 1548447923 |
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Provider Enumeration Date | 01/28/2008 |
Last Update Date | 01/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548447923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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