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Organization

PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF BEDFORD

Active
Other names
EcCare Mobile Health Association
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY P ENNIS M.D. (MEDICAL DIRECTOR)
(972) 283-0444
Entity
Organization

Contact information

Practice address
911 N HAMPTON RD, SUITE 120, DESOTO, TX 75115-3903
(972) 283-0444
(972) 827-0195
Mailing address
PO BOX 153068, IRVING, TX 75015-3068
(972) 659-1234
(972) 827-0195

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
81260003
TX
261QX0100X
Occupational Medicine Clinic/Center
Primary

Other

Enumeration date
01/25/2010
Last updated
10/28/2013
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