Individual
LINDA RAE ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
4499 MEDICAL DR, SUITE 380, SAN ANTONIO, TX 78229-3735
(210) 614-3303
(210) 615-1052
Mailing address
4499 MEDICAL DR, SUITE 380, SAN ANTONIO, TX 78229-3735
(210) 614-3303
(210) 615-1052
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G4114
TX
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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