Individual provider · Type 1 NPI

Michael Gary Ellman, MD

Specialist · Mesquite, TX

NPI number 1245339977 Active

Practice location

2692 N Galloway, 402
Mesquite, TX 75150-2636

Fax (972) 682-9289

Mailing address

PO Box 850304
Mesquite, TX 75185-0304

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XJ3092 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245339977

Michael Gary Ellman, MD's National Provider Identifier is 1245339977, issued on Sep 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mesquite, TX. The record was last updated on May 20, 2008.