Individual
WILLIAM BRYAN ELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
10252 E NORTHWEST HWY, DALLAS, TX 75238-4408
(214) 267-8636
Mailing address
10252 E NORTHWEST HWY, DALLAS, TX 75238-4408
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01439
TX
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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