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1982600193
JON MICHAEL ELLIS
WACO, TX
NPI
1982600193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: TX J9580)
Enumeration Date
2005-06-22
Last Update Date
2020-09-25
Business Address
Dr. JON MICHAEL ELLIS M.D.
140 HILLCREST MEDICAL BLVD STE 2
WACO, TX 76712-8897
Phone number: 254-741-1400
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Mailing Address
Dr. JON MICHAEL ELLIS M.D.
PO BOX 848491
DALLAS, TX 75284-8491
Phone number: 254-202-9330
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