Organization
ENNIS ORTHOPEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ALEXANDER WILLIAMS MD (OWNER)
(972) 875-4700
Entity
Organization
Contact information
Practice address
802 W LAMPASAS ST, ENNIS, TX 75119-4500
(972) 875-4700
(972) 878-4527
Mailing address
802 W LAMPASAS ST, ENNIS, TX 75119-4500
(972) 875-4700
(972) 878-4527
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K8575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030815701
—
TX
Enumeration date
09/20/2007
Last updated
03/09/2010
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