Individual
KATHLEEN ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5739 S STATE HIGHWAY 37, MINEOLA, TX 75773-7908
(903) 569-2900
Mailing address
5739 S STATE HIGHWAY 37, MINEOLA, TX 75773-7908
(903) 569-2900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
866104
TX
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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