Organization
PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF IRVING
Active
Other names
EcCare Health Center of Irving
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY P. ENNIS M.D. (MEDICAL DIRECTOR)
(972) 659-1234
Entity
Organization
Contact information
Practice address
2233 E GRAUWYLER RD STE 110, IRVING, TX 75061-3239
(972) 659-1234
(972) 257-9748
Mailing address
PO BOX 153068, IRVING, TX 75015-3068
(972) 659-1234
(972) 827-0195
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
TX
Other
Enumeration date
08/30/2005
Last updated
11/13/2013
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