EMILY ELLIS

SAN ANTONIO, TX
NPI1487056842
Former NameEMILY PADGETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9112117)
Additional Taxonomies133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: FL  nd6061)
363A00000X Physician Assistant
(Licence: TX  PA14548)
Enumeration Date2014-09-17
Last Update Date2022-12-02
Business Address
EMILY ELLIS PA
5430 FREDERICKSBURG RD
SAN ANTONIO, TX 78229-3539
Phone number: 210-297-4000
Mailing Address
EMILY ELLIS PA
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number: 813-821-8038