Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ian Apollos Justl Ellis

Individual provider Emergency Medicine Physician · NPI 1073856183

Ian Apollos Justl Ellis is an Emergency Medicine Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013

Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 879-6799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence Q8730 (TX)

Record details

NPI number1073856183
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESAugust 3, 2016

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