Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA M ELLIS, MD
ActiveANDREA M ELLIS, MD is a Family Medicine healthcare provider located in TYLER, Texas. NPI 1063661148 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TYLER, TX
Registration Details
- NPI Number
- 1063661148
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2008 (17.92604562289 yrs)
- Last Updated
- Dec 3, 2024
- Licenses
-
BP10032729 (TX)N7419 (TX)
Practice Information
- Address
-
8288 S BROADWAY AVETYLER, TX, 757035262Browse TX providers · Browse ZIP 75703
- Phone
- 9036067060
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in TYLER, TX
| Name | Credential | NPI |
|---|---|---|
| SHARON J. MARTIN HOLM | M.D. | 1275538035 |
| JOHN JASON PAGE | DO, PA | 1376549246 |
| KENNETH DONALD HAYGOOD | MD | 1326046616 |
| DR. JULIE T HAYGOOD | M.D. | 1124010392 |
| JOE GILBERT VALDEZ JR. | M.D. | 1104810779 |
| DR. R ANTON LESTER III | DO | 1740275270 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.