Eugene T Ellison JR., MD

NPI #1356341754 in Texarkana, Texas

Provider Information

NPI Number: 1356341754
Entity Type: Individual
Name: Eugene T Ellison JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jul 28, 2005
Last Updated: Jul 14, 2007

Practice Location

Address: 5402 SUMMERHILL RD
City: Texarkana
State: Texas
ZIP Code: 75503-4607
Phone: (903) 614-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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