Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ETHEL BOGAN ELLIS
Active Sole ProprietorMRS. ETHEL BOGAN ELLIS is a Emotionally Disturbed Children Residential Treatment healthcare provider located in WHARTON, Texas. NPI 1780883553 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · WHARTON, TX
Registration Details
- NPI Number
- 1780883553
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2007 (19.136201747916 yrs)
- Last Updated
- Jul 12, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1110 KINGSTON DRIVEWHARTON, TX, 774885708Browse TX providers · Browse ZIP 77488
- Phone
- 9795323720
- Fax
- 9795323720
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.