ECCARE HEALTH CENTER OF DESOTO
NPI 1114072550
Clinic/Center - Occupational Medicine in Desoto, TX
- Organization
- Clinic/Center
- Occupational Medicine
About ECCARE HEALTH CENTER OF DESOTO
This page provides the complete NPI Profile along with additional information for Eccare Health Center Of Desoto, a provider established in Desoto, Texas operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1114072550 assigned on January 2007. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Eccare Health Center Of Desoto. The authorized official of this NPI record is Gregory P. Ennis M.d. (Medical Director)
- NPI
- 1114072550 Verify this NPI
- Provider Legal Name
- PROFESSIONAL EMERGENCY SERVICE ASSOCIATION OF DESOTO
- Other Organization Name
- ECCARE HEALTH CENTER OF DESOTO
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 911 N HAMPTON RD SUITE 120 DESOTO, TX 75115
- Location Phone
- (972) 283-0444
- Location Fax
- (972) 283-4484
- Mailing Address
- PO BOX 153068 IRVING, TX 75015
- Mailing Phone
- (972) 659-1234
- Mailing Fax
- (972) 827-0195
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-24-2007
- Last Update Date
- 10-28-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Occupational Medicine
- Taxonomy Code
- 261QX0100X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
DESOTO, TX 75115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114072550, enumerated as an "organization" on January 24, 2007.
The provider is located at 911 N HAMPTON RD SUITE 120 DESOTO, TX 75115 and the phone number is (972) 283-0444.
Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.
