Individual provider · Type 1 NPI

Paul H. Ellenbogen, MD

Diagnostic Radiology Physician · Fort Worth, TX

NPI number 1982603841 Active

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Call (817) 321-0387 Map

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XF0991 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1982603841

Paul H. Ellenbogen, MD's National Provider Identifier is 1982603841, issued on Jul 21, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 12, 2013.