ELLIS PEDIATRICS NPI 1790932259

NPI Details

ELLIS PEDIATRICS is a pediatrics in Austin, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ELLIS PEDIATRICS NPI is 1790932259. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Austin Pediatrics, P.a..

The provider's business location address is:

12201 RENFERT WAY
SUITE 110
AUSTIN, TX
ZIP 78758-354
Phone: (512) 491-5125
Fax: (512) 491-8521

The provider's authorized official is Leighton Elizabeth Ellis .
The authorized official title is Owner/president and has the following contact phone number (512) 491-5125.

The CLIA number assigned to this NPI record is 45D0931523 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2008 and was last updated on 8/26/2008.

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: