PRHC - Ennis LP

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PRHC - ENNIS LP

Doing business as

Ennis Regional Medical Center

Practice address

2201 West Lampasas St
Ennis, TX 75119-5644

Phone

(972) 875-0900

NPI assigned

Jan 12, 2007

Last updated

Jun 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Johnetta Traylor

Title

Authorized Offical

Phone

(502) 596-6063

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• Ennis Regional Medical Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1386794915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST # KH-3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-6044",
            "fax_number": "502-212-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WEST LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRHC - ENNIS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121822401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121822403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ennis Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen S Pike, LPC
• Podiatric Medical Partners of Texas, PA (Family Foot & Ankle Centers)
• Mark Christopher Pollard
• Preferred Care Health Facilities of Texas I Inc (Ennis Care Center)
• Premier Care Services of Ennis, LLC
• PRHC Ennis LP (Ennis Regional Medical Center)
• Prime Diagnostic Imaging of Ennis, LLC
• Professional Lone Star Anesthesia Associates, P
• Fredric Clark Puckett, D.O.
• Lewis Alton Ragsdale, COTA

• Anesthesiology Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.