Organization · Type 2 NPI
Ennis Physical Medicine, PLLC
General Practice Physician · Ennis, TX
NPI number
1316439201
Active
Practice location
109 NW Main St Ste B
Ennis, TX 75119-4079
Fax (915) 206-5076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | K5597 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1316439201
Ennis Physical Medicine, PLLC's National Provider Identifier is 1316439201, issued on Jun 5, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ennis, TX. The record was last updated on Jun 5, 2018.