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Emily Ellis, PA
Medical Physician Assistant in San Antonio, Texas
NPI 1487056842

Emily Ellis is a Medical Physician Assistant based in Orlando, TX and is specialized in Medical. Emily Ellis practices in San Antonio, TX and has the professional credentials of PA. The NPI Number for Emily Ellis is 1487056842 and holds a License No. ND6061 (Texas).

The current practice location address for Emily Ellis is 5430 Fredericksburg Rd, San Antonio, TX and can be reached out via phone at 210-297-4000.

Location: 5430 Fredericksburg Rd, San Antonio, TX, 32891-0001
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Provider Profile Details
NPI Number
1487056842
Provider Name
Emily Ellis
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
5430 Fredericksburg Rd, San Antonio, TX, 32891-0001
Phone Number
210-297-4000
Fax Number
Provider Enumeration Date
09/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105187500 05 FL
5ILU8 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5430 Fredericksburg Rd
City
State
Zip
78229-3539
Phone Number
210-297-4000
Fax Number
person
Provider Business Mailing Address Details
Address
5430 Fredericksburg Rd
City
State
Zip
78229-3539
Phone Number
210-297-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
License No.
PA9112117 (Florida)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
PA14548 (Texas)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
ND6061 (Florida)
Definition
Definition to come...
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