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
Fax: (361) 387-8992
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366440919 NPPES
Texas MEDICAID 137311011

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