Organization
ECCARE PROFESSIONAL ASSOCIATION OF TEXAS P.A.
Active
Other names
EcCare Health Centers of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY P. ENNIS M.D. (PRESIDENT, CEO)
(972) 659-1234
Entity
Organization
Contact information
Practice address
561 N GRAHAM ST, STEPHENVILLE, TX 76401-3548
(254) 434-6400
(254) 965-6505
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
801865115
TX
Other
Enumeration date
10/21/2013
Last updated
10/28/2013
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