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Organization
R LEE ENNIS MD PA
Active
Organization
R LEE ENNIS MD PA
Active
Other names
RONALD L ENNIS MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L ENNIS MD (PRESIDENT)
(903) 465-7313
Entity
Organization
Contact information
Practice address
2402 W MORTON STE 146, DENISON, TX 75020
(903) 465-7313
(903) 463-4496
Mailing address
PO BOX 626, DENISON, TX 75021-0626
(903) 465-7313
(903) 463-4496
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097089901
—
TX
Enumeration date
12/05/2011
Last updated
12/05/2011
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