NPIMap

Organization Active NPI

Ennis Heart Center, PA

  • Clinic/Center
  • Ennis, TX
National Provider Identifier
1821227836
Registry record updated Jul 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
L9068 Issued in TX
Legal business name
ENNIS HEART CENTER, PA
Practice address
1905 W Ennis Ave
Suite 506
Ennis, TX 75119-3614
Phone
(972) 875-0100
NPI assigned
Jul 11, 2009
Last updated
Jul 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2009

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

Authorized official

Name
Imad Alwan, M.D.
Title
Owner
Phone
(972) 875-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X L9068 TX Primary

Addresses

Primary practice location

1905 W Ennis Ave
Suite 506
Ennis, TX 75119-3614

Mailing address

1905 W Ennis Ave
Suite 506
Ennis, TX 75119-3614
Phone (972) 875-0100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247270400000",
    "number": "1821227836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W ENNIS AVE",
            "address_2": "SUITE 506",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193614",
            "telephone_number": "972-875-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W ENNIS AVE",
            "address_2": "SUITE 506",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193614",
            "telephone_number": "972-875-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS HEART CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-11",
        "last_updated": "2009-07-11",
        "status": "A",
        "authorized_official_last_name": "ALWAN",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-875-0100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "L9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.