CHERYL VANDERBILT-ELLIS PA-C NPI 1497940316

NPI Information

NPI: 1497940316
Provider Name: CHERYL VANDERBILT-ELLIS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
Phone: (214) 456-0776
Get Directions

Cheryl Vanderbilt-ellis, PA-C is a medical physician assistant in Dallas, TX. Cheryl Vanderbilt-ellis, PA-C NPI is 1497940316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235-701
Phone: (214) 456-0776
Fax: (214) 867-5398

The enumeration date for this NPI number is 9/13/2007 and was last updated on 8/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	085002695	ILLINOIS	No
2	363AM0700X	Physician Assistant	Medical	PA08693	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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