Organization
ENNIS PHYSICAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CAMERON DAVIS DC (CLINIC DIRECTOR)
(972) 293-9355
Entity
Organization
Contact information
Practice address
109 NW MAIN ST STE B, ENNIS, TX 75119-4079
(972) 293-9355
(915) 206-5076
Mailing address
109 NW MAIN ST STE B, ENNIS, TX 75119-4079
(972) 293-9355
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
K5597
TX
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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