SearchTexas152W00000X

Geronimo Marten-Ellis, OD

NPI 1467538322 · on the registry since 2006 · sole proprietor

Practice

Address
620-C Ft.Hood.Rd.
Killeen, TX 76541
Phone
(254) 200-1010
Fax
(254) 213-9315

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-01-27

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