Ellsworth, Rachel Joy

Ellsworth, Rachel Joy is an individual health care provider with primary practice located at 18400 Katy Fwy Suite 560, Houston TX 77094-1286. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Ellsworth, Rachel Joy can be contacted via phone (832) 522-3240.

Contact Information

Primary practice address
18400 Katy Fwy Suite 560 Houston TX 77094-1286
Phone: (832) 522-3240
Fax: (281) 578-2404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TMB PIT# Texas
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X N1878 Texas

Profile Details

NPI number 1336393479
LBN Legal business name Ellsworth, Rachel Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated Feb 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336393479 NPPES
Texas MEDICAID 342229702
Texas MEDICAID 342229701
Texas Other 8GD754
Texas Other 8EQ602

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