NPI age
19 years
Enumerated 2007-01-09
● Active
Type 1 · Individual
Robert S Ellis, MD
Ellis is 1 of 9 surgery providers in Tyler and 1 of 159 in Texas.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 159 active surgery providers in Texas.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
1
In the 58% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
910 E Houston St, Ste 530
Tyler, TX 757028369
Mailing address
Po Box 846098
Dallas, TX 752846098
Specialties
-
Surgery PrimaryTrauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
-
SurgeryA surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | TIN PLUS 096 | TRICARE |
| 05 (TX) | 178944801 | |
| 01 | 86515S | BCBS |
| 01 (TX) | 8BC264 | BCBS OF TEXAS |
Practice context
Part of a multi-provider practice. 49 other active providers share this practice address in NPPES.
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