Individual
DR. DONALD ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20214 BRAIDWOOD DR, SUITE 215, KATY, TX 77450-2138
(281) 579-3600
(281) 579-2467
Mailing address
20214 BRAIDWOOD DR, SUITE 215, KATY, TX 77450-2138
(281) 579-3600
(281) 579-2467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L6874
TX
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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