Ellsworth, Misti G.

Ellsworth, Misti G. is an individual health care provider with primary practice located at 6431 Fannin St Suite Jjl 495, Houston TX 77030-1501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Ellsworth, Misti G. can be contacted via phone (713) 500-6645.

Contact Information

Primary practice address
6431 Fannin St Suite Jjl 495 Houston TX 77030-1501
Phone: (713) 500-6645
Fax: (713) 500-5666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N2486 Texas
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X N2486 Texas

Profile Details

NPI number 1376729897
LBN Legal business name Ellsworth, Misti G.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated Apr 29th, 2020 - about 6 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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