Organization
ENNIS RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUNG THEIN MD (CEO)
(972) 992-0875
Entity
Organization
Contact information
Practice address
1601 W 11TH PL, BIG SPRING, TX 79720-4114
(972) 992-0875
Mailing address
13320 GRAYHAWK BLVD, FRISCO, TX 75034-1698
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K4814
TX
Other
Enumeration date
07/20/2006
Last updated
07/11/2007
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