Individual provider · Type 1 NPI

Graham Ellis, MD

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number 1447008784 Active

Practice location

11937 US Highway 271
Tyler, TX 75708-3154

Call (903) 877-7200 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447008784

Graham Ellis, MD's National Provider Identifier is 1447008784, issued on May 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tyler, TX. The record was last updated on May 10, 2024.