Ellis, B Keith

Ellis, B Keith is an individual health care provider with primary practice located at 16651 Southwest Fwy Mob 1, Suite 400, Sugar Land TX 77479-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ellis, B Keith can be contacted via phone (713) 776-9500.

Contact Information

Primary practice address
16651 Southwest Fwy Mob 1, Suite 400 Sugar Land TX 77479-2345
Phone: (713) 776-9500
Fax: (713) 400-7220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L7368 Texas

Profile Details

NPI number 1821046780
LBN Legal business name Ellis, B Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821046780 NPPES
Texas MEDICAID 166000306
Texas MEDICAID 166000303
Texas MEDICAID 166000304
Texas MEDICAID 166000305
Texas Other 1821046780
Texas Other P01301854
Texas Other 8DJ181
Texas Other P01086528

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