Main, Ellis Gerard
Main, Ellis Gerard is an individual health care provider with primary practice located at 327 W Avenue J , Robstown TX 78380-2207. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Main, Ellis Gerard can be contacted via phone (361) 387-9233.Contact Information
Primary practice address
327 W Avenue J
Robstown TX 78380-2207
Phone: (361) 387-9233
Fax: (361) 387-8992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | J2176 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J2176 | Texas |
Profile Details
| NPI number | 1366440919 |
|---|---|
| LBN Legal business name | Main, Ellis Gerard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Oct 16th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366440919 | NPPES |
| Texas | MEDICAID | 137311011 |
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