Individual provider · Type 1 NPI
Cheryl Vanderbilt-Ellis, PA-C
Medical Physician Assistant · Dallas, TX
NPI number
1497940316
Active
Practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Fax (214) 867-5398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085002695 (IL) |
| Medical Physician Assistant Primary | 363AM0700X | PA08693 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1497940316
Cheryl Vanderbilt-Ellis, PA-C's National Provider Identifier is 1497940316, issued on Sep 13, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Aug 15, 2016.