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Phatchadaporn Ellwood, MT142374

NPI 1396664678 · on the registry since 2026 · sole proprietor

Practice

Address
504 Calmo Ct
Liberty Hill, TX 78642
Phone
(425) 442-7178

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas