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1982603841
PAUL H. ELLENBOGEN
FORT WORTH, TX
NPI
1982603841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX F0991)
Enumeration Date
2005-07-21
Last Update Date
2013-08-12
Business Address
Dr. PAUL H. ELLENBOGEN M.D.
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0387
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Mailing Address
Dr. PAUL H. ELLENBOGEN M.D.
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0387
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