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Andrea M Ellis, MD
Family Medicine Physician in Tyler, Texas
NPI 1063661148

Andrea M Ellis is a Family Medicine Physician based in Dallas, TX. Andrea M Ellis practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Andrea M Ellis is 1063661148 and holds a License No. BP10032729 (Texas).

The current practice location address for Andrea M Ellis is 8288 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-606-7060.

Location: 8288 S Broadway Ave, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063661148
Provider Name
Andrea M Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8288 S Broadway Ave, Tyler, TX, 75284-6098
Phone Number
903-606-7060
Fax Number
Provider Enumeration Date
09/15/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8CU926 01 TX BCBS
75-2616977-042 01 TX TRICARE
752616977077 01 TX TRICARE
284827701 05 TX
752616977118 01 TX TRICARE
institution
Provider Business Practice Location Address Details
Address
8288 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-5262
Phone Number
903-606-7060
Fax Number
person
Provider Business Mailing Address Details
Address
8288 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-5262
Phone Number
903-606-7060
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
BP10032729 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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