Individual provider · Type 1 NPI
Paul Roscoe Ellis Iii, MD
Specialist · Dallas, TX
NPI number
1750309878
Active
Practice location
3600 Gaston Ave Ste 450
Dallas, TX 75246-1904
Fax (214) 823-2825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G3329 (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 1750309878
Paul Roscoe Ellis Iii, MD's National Provider Identifier is 1750309878, issued on Jul 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Nov 17, 2010.