Provider Demographics
NPI:1922552827
Name:PURSELL, ELLESMIRA DREW
Entity Type:Individual
Prefix:
First Name:ELLESMIRA
Middle Name:DREW
Last Name:PURSELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 CRESCENT DR
Mailing Address - Street 2:3135
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-2174
Mailing Address - Country:US
Mailing Address - Phone:817-235-8083
Mailing Address - Fax:
Practice Address - Street 1:709 CRESCENT DR
Practice Address - Street 2:3135
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-2174
Practice Address - Country:US
Practice Address - Phone:817-235-8083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other