| Ennis Heart Center, Pa | |
|
1905 W Ennis Ave Suite 506 Ennis TX 75119-3614 | |
| (972) 875-0100 | |
| Not Available |
| Full Name | Ennis Heart Center, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 1905 W Ennis Ave, Ennis, Texas |
| Authorized Official Name and Position | Imad Alwan (OWNER) |
| Authorized Official Contact | 9728750100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ennis Heart Center, Pa 1905 W Ennis Ave Suite 506 Ennis TX 75119-3614 Ph: (972) 875-0100 | Ennis Heart Center, Pa 1905 W Ennis Ave Suite 506 Ennis TX 75119-3614 Ph: (972) 875-0100 |
| NPI Number | 1821227836 |
|---|---|
| Provider Enumeration Date | 07/11/2009 |
| Last Update Date | 07/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821227836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L9068 (Texas) | Primary |
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