Larry D Ellis SR.

NPI #1376934778 in Fresno, Texas

Provider Information

NPI Number: 1376934778
Entity Type: Individual
Name: Larry D Ellis SR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Feb 7, 2015
Last Updated: Feb 7, 2015

Practice Location

Address: 2215 STEEP PINE TRL
City: Fresno
State: Texas
ZIP Code: 77545-8831
Phone: (832) 362-1350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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