Individual
DR. DIANNE ELIZABETH ELLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3001 PALM WAY STE D134, AUSTIN, TX 78758-7963
(888) 663-6331
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7001
TX
Other
Enumeration date
06/19/2015
Last updated
01/29/2024
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