location
search-icon
person
Dr. Bruce Elkin Ellerin, MD
Radiation Oncology Physician in Tyler, Texas
NPI 1285635052

Bruce Elkin Ellerin is a Radiation Oncology Physician based in Tyler, TX and is specialized in Radiation Oncology. Bruce Elkin Ellerin practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Bruce Elkin Ellerin is 1285635052 and holds a License No. L8679 (Texas).

The current practice location address for Bruce Elkin Ellerin is 721 Clinic Dr, Tyler, TX and can be reached out via phone at 903-535-6312 and via fax at 903-535-6330.

Location: 721 Clinic Dr, Tyler, TX, 75701-2043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285635052
Provider Name
Bruce Elkin Ellerin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
721 Clinic Dr, Tyler, TX, 75701-2043
Phone Number
903-535-6312
Fax Number
903-535-6330
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1825753 01 AETNA
1984247-03 05 TX
1984247-04 05 TX
010046338 01 AMERICHOICE
3K8111 01 HEALTHNET
P3883771 01 OXFORD
institution
Provider Business Practice Location Address Details
Address
721 Clinic Dr
City
Tyler
State
Texas
Zip
75701-2043
Phone Number
903-535-6312
Fax Number
903-535-6330
person
Provider Business Mailing Address Details
Address
721 Clinic Dr
City
Tyler
State
Texas
Zip
75701-2043
Phone Number
903-535-6312
Fax Number
903-535-6330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
L8679 (Texas)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.