Search › Texas › 207W00000X
Eugene Ellison, MD
NPI 1356341754 · on the registry since 2005
Practice
- Address
- 5402 Summerhill Rd
Texarkana, TX 75503 - Phone
- (903) 614-3937
- Fax
- (903) 614-3525
- Organisation at this address
- Collom & Carney Clinic
Collom And Carney Clinic AssociationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207W00000X
- Licence states on file
- TX, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-14
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