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Rebecca Ellspermann is one of 211 physician assistants practicing in Tyler, Texas .
Rebecca Ellspermann practices with Oliver Street 5.01(A) Inc.
Registry record (NPPES)
NPI
1083857429
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
5625 Eiger Rd Austin, TX 78735-8982 (512) 892-7076
Enumerated
Apr 15, 2009
Record last updated
Apr 14, 2016
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1367 Dominion Plz
Tyler , TX 75703
(903) 534-6200
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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