TRACEY L ELLIS

CONROE, TX
NPI1922778943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  1054414)
Enumeration Date2021-09-20
Last Update Date2022-07-28
Business Address
TRACEY L ELLIS APRN
701 E DAVIS ST STE A
CONROE, TX 77301-3102
Phone number: 936-525-2800
Mailing Address
TRACEY L ELLIS APRN
PO BOX 650859 DEPT 710
DALLAS, TX 75265-1668
Phone number: 409-747-6240
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