IAN APOLLOS JUSTL ELLIS

FORT WORTH, TX
NPI1073856183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TX  Q8730)
Enumeration Date2013-03-27
Last Update Date2016-08-03
Business Address
-- IAN APOLLOS JUSTL ELLIS
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-879-6799
Mailing Address
-- IAN APOLLOS JUSTL ELLIS
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-879-6799
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