Ennis Pediatric and Adolescent Health Care Center, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

N2343 Issued in TX

Legal business name

ENNIS PEDIATRIC AND ADOLESCENT HEALTH CARE CENTER, P.A.

Practice address

2203 W Lampasas St
Suite 202
Ennis, TX 75119-5644

Phone

(972) 875-8300

NPI assigned

Jun 8, 2009

Last updated

Sep 15, 2010By 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

Dr. Katherine Elizabeth Brown, MDNPI 1871759704

Title

Sole Director

Phone

(972) 875-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Elizabeth Brown, M.D.

  • Pediatrics Physician
  • Ennis, TX
  • NPI 1871759704
  NPD (past) Authorized official

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1669608493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST",
            "address_2": "SUITE 202",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST",
            "address_2": "SUITE 202",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS PEDIATRIC AND ADOLESCENT HEALTH CARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE DIRECTOR",
        "authorized_official_telephone_number": "972-875-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N2343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ennis Hometown Dental
• Ennis Isd
• Ennis Midwifery LLC
• Ennis Nursing and Rehab Center LLC
• Ennis Orthopedics PA
• Ennis Physical Medicine, PLLC
• Ennis Smiles PLLC
• Ennis Specialty Pharmacy, Inc
• Ennis Veterinary Clinic PC
• Monica Frances Espedal, S.L.P.

• Primary Care Clinic/Center in Ennis, TX
• Providers in Ennis, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.