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1063661148
ANDREA M ELLIS
TYLER, TX
NPI
1063661148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX BP10032729)
Enumeration Date
2008-09-15
Last Update Date
2020-06-26
Business Address
ANDREA M ELLIS MD
8288 S BROADWAY AVE
TYLER, TX 75703-5262
Phone number: 903-606-7060
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Mailing Address
ANDREA M ELLIS MD
PO BOX 846098
DALLAS, TX 75284-6098
Phone number: 903-324-6450
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