Individual
GREGORY PHILLIP ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 W AIRPORT FWY, SUITE 105, IRVING, TX 75062-6006
(972) 659-1235
(972) 257-9748
Mailing address
2001 W AIRPORT FWY, SUITE 105, IRVING, TX 75062-6006
(972) 659-1235
(972) 665-0148
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
E0454
TX
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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