| Gregory Alan Ennis, M.D., P.A. | |
|
1101 Raintree Cir Suite 200 Allen TX 75013-4922 | |
| (214) 644-0980 | |
| (214) 644-0985 |
| Full Name | Gregory Alan Ennis, M.D., P.A. |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 Raintree Cir, Allen, Texas |
| Authorized Official Name and Position | Shannon Lee Norwood (OFFICE MANAGER) |
| Authorized Official Contact | 2146440980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Alan Ennis, M.D., P.A. 1101 Raintree Cir Suite 200 Allen TX 75013-4922 Ph: (214) 644-0980 | Gregory Alan Ennis, M.D., P.A. 1101 Raintree Cir Suite 200 Allen TX 75013-4922 Ph: (214) 644-0980 |
| NPI Number | 1124140991 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124140991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K5292 (Texas) | Primary |
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