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Search › Texas › 208100000X

Ellisiv Lien, MD

NPI 1265670749 · on the registry since 2009

Practice

Address
2737 S Broadway Ave
Tyler, TX 75701
Phone
(903) 592-6000
Fax
(903) 592-3224
Organisation at this address
Charles R Gordon Md Pa
Charles R Gordon Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas