Individual provider · Type 1 NPI
Steven Ellsworth, MD
Specialist · Odessa, TX
NPI number
1780771675
Active
Practice location
5000 E University Blvd Ste 6
Odessa, TX 79762-8149
Fax (432) 362-4594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G5021 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1780771675
Steven Ellsworth, MD's National Provider Identifier is 1780771675, issued on Oct 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Odessa, TX. The record was last updated on Jul 8, 2007.