Eccare Professional Association of Texas P.a.

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

801865115 Issued in TX

Legal business name

ECCARE PROFESSIONAL ASSOCIATION OF TEXAS P.A.

Practice address

561 N Graham St
Stephenville, TX 76401-3548

Phone

(254) 434-6400

Fax

(254) 965-6505

NPI assigned

Oct 21, 2013

Last updated

Oct 28, 2013By 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

Gregory P. Ennis, M.D.NPI 1619092228

Title

President, Ceo

Phone

(972) 659-1234

Specialties & licenses 1

Addresses

Other names 1

• EcCare Health Centers of Texas Other name

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.

• Gregory Philip Ennis, M.D.

  • Occupational Medicine Clinic/Center
  • Irving, TX
  • NPI 1619092228
  Authorized official Same address or phone

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1740618206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153068",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750153068",
            "telephone_number": "972-659-1234",
            "fax_number": "972-827-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N GRAHAM ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013548",
            "telephone_number": "254-434-6400",
            "fax_number": "254-965-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCARE PROFESSIONAL ASSOCIATION OF TEXAS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "972-659-1234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "TX",
            "license": "801865115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EcCare Health Centers of Texas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fiona Leigh Dowling
• DPT Physical Therapy & Performance
• Stephanie Renee Drake, M.S., CCC-SLP
• Lindsey Duncan, SLP
• Lauren Duque, PT
• Sharon Denise Edwards, OTR
• Allyson Elkins, SLP
• Miranda Ellis
• Meagan Ellner, OTR, OTD
• Peyton Elmore

• Occupational Medicine Clinic/Center in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Occupational Medicine Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.