Gregory Alan Ennis, M.d., P.a. | |
1101 Raintree Cir Suite 200 Allen TX 75013-4922 | |
(214) 644-0980 | |
(214) 644-0985 |
Full Name | Gregory Alan Ennis, M.d., P.a. |
---|---|
Speciality | Family Medicine |
Location | 1101 Raintree Cir, Allen, Texas |
Authorized Official Name and Position | Shannon Lee Norwood (OFFICE MANAGER) |
Authorized Official Contact | 2146440980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gregory Alan Ennis, M.d., P.a. 1101 Raintree Cir Suite 200 Allen TX 75013-4922 Ph: (214) 644-0980 | Gregory Alan Ennis, M.d., P.a. 1101 Raintree Cir Suite 200 Allen TX 75013-4922 Ph: (214) 644-0980 |
NPI Number | 1124140991 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124140991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K5292 (Texas) | Primary |
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