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

Lorenzo Paul Ellis

Individual provider Physician Assistant · NPI 1699546341

Lorenzo Paul Ellis is a Physician Assistant in Fort Worth, Texas. Qualified in 2023, 3 years ago. Practices with Fort Worth Institute of Medical Sciences LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone: (972) 544-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 778174 (TX)

Record details

NPI number1699546341
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fort Worth Institute Of Medical Sciences Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Worth