| Mrs Melanie Jane Ellis, PA | |
|
359 Medical Group, 221 Thrid Street West, Bldg 1040, Jbsa-randolph, TX 78150 | |
| (210) 652-8544 | |
| Not Available |
| Full Name | Mrs Melanie Jane Ellis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 359 Medical Group, Jbsa-randolph, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043395874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10003433 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melanie Jane Ellis, PA 145 Clapboard Run, Cibolo, TX 78108-4334 Ph: (210) 563-9646 | Mrs Melanie Jane Ellis, PA 359 Medical Group, 221 Thrid Street West, Bldg 1040, Jbsa-randolph, TX 78150 Ph: (210) 652-8544 |