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Organization

ENNIS HEART CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IMAD ALWAN M.D. (OWNER)
(972) 875-0100
Entity
Organization

Contact information

Practice address
1905 W ENNIS AVE, SUITE 506, ENNIS, TX 75119-3614
(972) 875-0100
Mailing address
1905 W ENNIS AVE, SUITE 506, ENNIS, TX 75119-3614
(972) 875-0100

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L9068
TX

Other

Enumeration date
07/11/2009
Last updated
07/11/2009
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