Individual provider · Type 1 NPI

Yanique Tavia Ellis, MD

Pediatrics Physician · Tyler, TX

NPI number 1093382939 Active

Practice location

2900 North Broadway Ave
Tyler, TX 75702

Mailing address

5805 Thompson Pl
Tyler, TX 75707-5001

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XV0728 (TX)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1093382939

Yanique Tavia Ellis, MD's National Provider Identifier is 1093382939, issued on Jun 9, 2021. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Tyler, TX. The record was last updated on Dec 2, 2024.