Donald Ellsworth M.D.

NPI 1659600161 - Family Medicine - 207Q00000X

NPI Details
NPI 1659600161
Gender Male
Enumeration Date 12/11/2009
Last Updated 12/11/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
20214 BRAIDWOOD DR
SUITE 215
KATY TX, 77450-2138, US
Phone (281) 579-3600
Fax (281) 579-2467
Business Location
20214 BRAIDWOOD DR
SUITE 215
KATY TX, 77450-2138, US
Phone (281) 579-3600
Fax (281) 579-2467
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number L6874
Remove 1659600161 NPI Number
 

According to our database, Dr. Donald Ellsworth M.D. NPI is 1659600161, taxonomy code is 207Q00000X and license number is L6874, license state is located at Texas. Donald Ellsworth M.D. physically located at 20214 Braidwood Dr, Katy TX, 77450-2138. NPI Number Donald Ellsworth M.D. has the Individual type.

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1659600161 NPI number is provided on an as is basis without warranty of any kind. 1659600161 is maintained by the National Plan & Provider Enumeration System. The contents of Donald Ellsworth M.D. are for informational purposes only.