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Robert S Ellis, MD
Trauma Surgery Physician in Tyler, Texas
NPI 1093864027

Robert S Ellis is a Trauma Surgery Physician based in Dallas, TX and is specialized in Trauma Surgery. Robert S Ellis practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Robert S Ellis is 1093864027 and holds a License No. M1656 (Texas).

The current practice location address for Robert S Ellis is 910 E Houston St, Tyler, TX and can be reached out via phone at 903-531-5560. You can also correspond with Robert S Ellis through the mailing address at PO BOX 846098, DALLAS, TX - 75284-6098 (mailing address contact number: 903-324-6450).

Location: 910 E Houston St, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093864027
Provider Name
Robert S Ellis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
910 E Houston St, Tyler, TX, 75284-6098
Phone Number
903-531-5560
Fax Number
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TIN PLUS 096 01 TX TRICARE
178944801 05 TX
86515S 01 BCBS
8BC264 01 TX BCBS OF TEXAS
institution
Provider Business Practice Location Address Details
Address
910 E Houston St
City
Tyler
State
Texas
Zip
75702-8369
Phone Number
903-531-5560
Fax Number
person
Provider Business Mailing Address Details
Address
910 E Houston St
City
Tyler
State
Texas
Zip
75702-8369
Phone Number
903-531-5560
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Critical Care
Taxonomy
2086S0102X
License No.
M1656 (Texas)
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Trauma Surgery
Taxonomy
2086S0127X
License No.
M1656 (Texas)
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
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