| Corbet K Ellison DDS PC | |
|
11233 Shadow Creek Pkwy Suite 120 Pearland TX 77584-7345 | |
| (281) 741-5247 | |
| (281) 741-5354 |
| Full Name | Corbet K Ellison DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 11233 Shadow Creek Pkwy, Pearland, Texas |
| Authorized Official Name and Position | Corbet K Ellison (OWNER) |
| Authorized Official Contact | 2817415247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corbet K Ellison DDS PC 11233 Shadow Creek Pkwy Suite 120 Pearland TX 77584-7345 Ph: (281) 741-5247 | Corbet K Ellison DDS PC 11233 Shadow Creek Pkwy Suite 120 Pearland TX 77584-7345 Ph: (281) 741-5247 |
| NPI Number | 1073810735 |
|---|---|
| Provider Enumeration Date | 02/16/2011 |
| Last Update Date | 11/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073810735 | NPI | - | NPPES |
| 188083306 | Medicaid | TX |
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