Enterprise Pediatric Center of Denison LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ENTERPRISE PEDIATRIC CENTER OF DENISON LLC

Practice address

2300 W Morton St
Ste 114
Denison, TX 75020-1671

Phone

(903) 462-4085

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

Dale L Phillips Jr.

Title

Manager

Phone

(903) 462-4085

Specialties & licenses 1

Addresses

Other names 1

• LifeSteps of Denison Doing business as

Tax ID family

Enterprise Pediatric Center of Denison LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Enterprise Pediatric Center of Denison LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Denison, TX
  • NPI 1427389568
  NPD tax ID

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1508092917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MORTON ST",
            "address_2": "STE 114",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201671",
            "telephone_number": "903-462-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MORTON ST",
            "address_2": "STE 114",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201671",
            "telephone_number": "903-462-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE PEDIATRIC CENTER OF DENISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-462-4085",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSteps of Denison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Azar Ehsan, M.D.
• Hesham Mohamed Elgouhari, M.D.
• Katherine L Ellis, MD
• Theresa Danielle Englutt, FNP-C
• Enterprise Pediatric Center of Denison LLC
• Tiffany Estes
• Exbury Garden Assisted Living Community LLC
• Exceptionalcare, Inc.
• Eye Care of Texoma, LLC
• F. Linda Oro-Castillo M.D., P.a.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Denison, TX
• Providers in Denison, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.