Ellis, James Brant

Ellis, James Brant is an individual health care provider with primary practice located at 12446 West Ave Ste 200, San Antonio TX 78216-2517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ellis, James Brant can be contacted via phone (210) 525-1668.

Contact Information

Primary practice address
12446 West Ave Ste 200 San Antonio TX 78216-2517
Phone: (210) 525-1668
Fax: (210) 525-1669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X E4319 Texas

Profile Details

NPI number 1801869268
LBN Legal business name Ellis, James Brant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jun 14th, 2016 - 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 1801869268 NPPES
Texas Other 8F7403 BCBS
Texas MEDICAID 102043003 BCBS
Texas MEDICAID 102043005 BCBS

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