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Pecan Grove Healthcare
Family Nurse Practitioner in Ennis, Texas
NPI 1306114277

Pecan Grove Healthcare is a Family Nurse Practitioner based in Ennis, TX and is specialized in Family. Pecan Grove Healthcare practices in Ennis, TX. The NPI Number for Pecan Grove Healthcare is 1306114277 and holds a License No. 517664 (Texas).

The current practice location address for Pecan Grove Healthcare is 805 W Lampasas St, Ennis, TX and can be reached out via phone at 972-875-9494 and via fax at 972-878-0689.

Location: 805 W Lampasas St, Ennis, TX, 75119-4535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306114277
Provider Name
Pecan Grove Healthcare
Credential
Provider Entity Type
Organization
Address
805 W Lampasas St, Ennis, TX, 75119-4535
Phone Number
972-875-9494
Fax Number
972-878-0689
Provider Enumeration Date
12/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
805 W Lampasas St
City
Ennis
State
Texas
Zip
75119-4535
Phone Number
972-875-9494
Fax Number
972-878-0689
person
Provider Business Mailing Address Details
Address
805 W Lampasas St
City
Ennis
State
Texas
Zip
75119-4535
Phone Number
972-875-9494
Fax Number
972-878-0689
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
517664 (Texas)
Definition
Definition to come...
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