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Ennis Physical Medicine, Pllc
General Practice Physician in Ennis, Texas
NPI 1316439201

Ennis Physical Medicine, Pllc is a General Practice Physician based in Ennis, TX. Ennis Physical Medicine, Pllc practices in Ennis, TX. The NPI Number for Ennis Physical Medicine, Pllc is 1316439201 and holds a License No. K5597 (Texas).

The current practice location address for Ennis Physical Medicine, Pllc is 109 Nw Main St Ste B, Ennis, TX and can be reached out via phone at 972-293-9355 and via fax at 915-206-5076.

Location: 109 Nw Main St Ste B, Ennis, TX, 75119-4079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316439201
Provider Name
Ennis Physical Medicine, Pllc
Credential
Provider Entity Type
Organization
Address
109 Nw Main St Ste B, Ennis, TX, 75119-4079
Phone Number
972-293-9355
Fax Number
915-206-5076
Provider Enumeration Date
06/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 Nw Main St Ste B
City
Ennis
State
Texas
Zip
75119-4079
Phone Number
972-293-9355
Fax Number
915-206-5076
person
Provider Business Mailing Address Details
Address
109 Nw Main St Ste B
City
Ennis
State
Texas
Zip
75119-4079
Phone Number
972-293-9355
Fax Number
915-206-5076
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
K5597 (Texas)
Definition
Definition to come...
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