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PECAN GROVE HEALTHCARE
NPI 1306114277
Nurse Practitioner - Family in Ennis, TX

Active since December 07, 2011
805 W LAMPASAS ST, ENNIS, TX 75119(972) 875-9494(972) 878-0689 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pecan Grove Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PECAN GROVE HEALTHCARE (NPI 1306114277) is a healthcare organization registered as a family in Ennis, Texas and active in the NPI registry since December 2011. The organization lists Rebecca L Lucas, Owner, as its authorized official.

NPPES Registry Identity

NPI1306114277
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePECAN GROVE HEALTHCARE
Location Address805 W LAMPASAS STEnnis, TX 75119-4535
Mailing Address805 W Lampasas StEnnis, TX 75119-4535 · (972) 875-9494 · Fax (972) 878-0689
Phone(972) 875-9494
Fax(972) 878-0689
Organization SubpartNo
Authorized OfficialRebecca L LucasOwner · (972) 875-9494
Enumeration DateDecember 7, 2011
✔ NPI 1306114277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 517664
805 W LAMPASAS ST, Ennis, TX 75119
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLIS COUNTY COALITION FOR HEALTH OPTIONS
Clinic/Center (Federally Qualified Health Center (FQHC))
805 W LAMPASAS ST
ENNIS, TX 75119
Ellis County (972) 923-2440
NORMA J FUELBERTH MD
Obstetrics & Gynecology
805 W LAMPASAS ST
ENNIS, TX 75119
Ellis County (972) 875-9494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pecan Grove Healthcare's NPI number?

The NPI number for Pecan Grove Healthcare is 1306114277. It was assigned to this organization in the NPPES registry on December 7, 2011.

Where is Pecan Grove Healthcare located?

Pecan Grove Healthcare is located at 805 W Lampasas St, Ennis, TX 75119. The listed phone number is (972) 875-9494.

What is Pecan Grove Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Pecan Grove Healthcare was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.