MS. Yanique Tavia Ellis, MD

NPI #1093382939 in Tyler, Texas

Provider Information

NPI Number: 1093382939
Entity Type: Individual
Name: MS. Yanique Tavia Ellis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jun 9, 2021
Last Updated: Dec 2, 2024

Practice Location

Address: 2900 NORTH BROADWAY AVE
City: Tyler
State: Texas
ZIP Code: 75702
Phone: (903) 593-1892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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