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ENNIS PHYSICAL MEDICINE PLLC NPI 1316439201


NPI Information

NPI: 1316439201
Provider Name: ENNIS PHYSICAL MEDICINE, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
109 NW MAIN ST STE B
ENNIS, TX
ZIP 75119
Phone: (972) 293-9355
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ENNIS PHYSICAL MEDICINE, PLLC is a general practice in Ennis, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ENNIS PHYSICAL MEDICINE, PLLC NPI is 1316439201. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

109 NW MAIN ST STE B
ENNIS, TX
ZIP 75119-079
Phone: (972) 293-9355
Fax: (915) 206-5076

The provider's authorized official is William Cameron Davis .
The authorized official title is Clinic Director and has the following contact phone number (972) 293-9355.

The enumeration date for this NPI number is 6/5/2018 and was last updated on 6/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeK5597TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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