Individual
DR. DONALD L ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
514 FAIRWAY LAKES DR, GARLAND, TX 75044-5043
(469) 450-5539
Mailing address
PO BOX 496763, GARLAND, TX 75049-6763
(469) 450-5539
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F89C
BLUE CROSS
TX
Enumeration date
03/18/2007
Last updated
12/07/2007
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