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Michael Gary Ellman, MD
Specialist in Mesquite, Texas
NPI 1245339977

Michael Gary Ellman is a Specialist based in Mesquite, TX. Michael Gary Ellman practices in Mesquite, TX and has the professional credentials of MD. The NPI Number for Michael Gary Ellman is 1245339977 and holds a License No. J3092 (Texas).

The current practice location address for Michael Gary Ellman is 2692 N Galloway, Mesquite, TX and can be reached out via phone at 972-682-3909 and via fax at 972-682-9289.

Location: 2692 N Galloway, Mesquite, TX, 75185-0304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245339977
Provider Name
Michael Gary Ellman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2692 N Galloway, Mesquite, TX, 75185-0304
Phone Number
972-682-3909
Fax Number
972-682-9289
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12249902 05 TX
institution
Provider Business Practice Location Address Details
Address
2692 N Galloway
City
Mesquite
State
Texas
Zip
75150-2636
Phone Number
972-682-3909
Fax Number
972-682-9289
person
Provider Business Mailing Address Details
Address
2692 N Galloway
City
Mesquite
State
Texas
Zip
75150-2636
Phone Number
972-682-3909
Fax Number
972-682-9289
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J3092 (Texas)
Definition
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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