Individual
MS. RACHEL JOY ELLSWORTH
Active
Individual
MS. RACHEL JOY ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
N1878
TX
390200000X
Student in an Organized Health Care Education/Training Program
TMB PIT#
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342229701
—
TX
05
—
342229702
—
TX
01
—
8EQ602
BCBS
TX
01
—
8GD754
BCBS
TX
Enumeration date
11/14/2008
Last updated
02/04/2022
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