Provider Demographics
NPI:1972586584
Name:VANN, ELLIOTT RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLIOTT
Middle Name:RICHARD
Last Name:VANN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1633 COTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-3033
Mailing Address - Country:US
Mailing Address - Phone:325-672-4372
Mailing Address - Fax:325-673-0856
Practice Address - Street 1:1633 COTTONWOOD
Practice Address - Street 2:ABILENE JOINT AND JOINT
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601
Practice Address - Country:US
Practice Address - Phone:325-672-4372
Practice Address - Fax:325-673-0856
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2013-09-10
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Provider Licenses
StateLicense IDTaxonomies
TXP5143207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery