Organization
ELLIS COUNTY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY A JINKS MD (PRESIDENT)
(972) 875-4700
Entity
Organization
Contact information
Practice address
802 W LAMPASAS ST, ENNIS, TX 75119-4536
(972) 875-4700
(972) 878-4527
Mailing address
802 W LAMPASAS ST, ENNIS, TX 75119-4536
(972) 875-4700
(972) 878-4527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082028402
—
TX
Enumeration date
09/12/2006
Last updated
04/04/2023
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