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ENNIS PHYSICAL MEDICINE, PLLC
NPI 1316439201
General Practice in Ennis, TX

Active since June 05, 2018
109 NW MAIN ST STE B, ENNIS, TX 75119(972) 293-9355(915) 206-5076 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ennis Physical Medicine, Pllc NPPES

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

ENNIS PHYSICAL MEDICINE, PLLC (NPI 1316439201) is a healthcare organization registered as a general practice in Ennis, Texas and active in the NPI registry since June 2018. The organization lists William Cameron Davis, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1316439201
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameENNIS PHYSICAL MEDICINE, PLLC
Location Address109 NW MAIN ST STE BEnnis, TX 75119-4079
Mailing Address109 Nw Main St Ste BEnnis, TX 75119-4079 · (972) 293-9355
Phone(972) 293-9355
Fax(915) 206-5076
Organization SubpartNo
Authorized OfficialWilliam Cameron DavisClinic Director · (972) 293-9355
Enumeration DateJune 5, 2018
✔ NPI 1316439201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · K5597
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
109 NW MAIN ST STE B, 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 MULTIPLE SINGLE SPECIALTY GROUP

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 Ennis Physical Medicine, PLLC's NPI number?

The NPI number for Ennis Physical Medicine, PLLC is 1316439201. It was assigned to this organization in the NPPES registry on June 5, 2018.

Where is Ennis Physical Medicine, PLLC located?

Ennis Physical Medicine, PLLC is located at 109 NW Main St Ste B, Ennis, TX 75119. The listed phone number is (972) 293-9355.

What is Ennis Physical Medicine, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ennis Physical Medicine, PLLC was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.