Organization
ENNIS HEALTHCARE SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L RILEY (ADMINISTRATOR)
(214) 943-9431
Entity
Organization
Contact information
Practice address
2200 PHYSICANS BLVD STE D, ENNIS, TX 75119-6248
(972) 875-7488
(972) 875-7508
Mailing address
PO BOX 3770, DALLAS, TX 75208-1070
(972) 875-7488
(972) 875-7508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065LT
BCBS
TX
Enumeration date
05/17/2006
Last updated
07/07/2011
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