KENT ELLSWORTH

FORT SAM HOUSTON, TX
NPI1730313172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2009-05-13
Last Update Date2023-07-27
Business Address
KENT ELLSWORTH PA-C
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582
Mailing Address
KENT ELLSWORTH PA-C
2745 HARNEY PATH
SAN ANTONIO, TX 78234-7677
Phone number: 210-221-6504