Ellisor, Thomas Alan

Ellisor, Thomas Alan is an individual health care provider with primary practice located at 103 N Dixie Dr , Lake Jackson TX 77566-5940. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ellisor, Thomas Alan can be contacted via phone (979) 297-6438.

Contact Information

Primary practice address
103 N Dixie Dr Lake Jackson TX 77566-5940
Phone: (979) 297-6438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 28931 Texas

Profile Details

NPI number 1649617838
LBN Legal business name Ellisor, Thomas Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2013
Last updated May 28th, 2013 - about 13 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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