Professional Emergency Service Association of Desoto

NPI #1114072550 in Desoto, Texas

Provider Information

NPI Number
1114072550
Entity Type
Organization
Organization Name
Professional Emergency Service Association of Desoto
Primary Specialty
Clinic/Center - Occupational Medicine
Enumeration Date
Jan 24, 2007
Last Updated
Oct 28, 2013

Practice Location

Address
911 N HAMPTON RD
Address 2
SUITE 120
City
Desoto
State
Texas
ZIP Code
75115-3903
Phone
(972) 283-0444

Authorized Official

Name
GREGORY P. ENNIS, M.D.
Title
MEDICAL DIRECTOR
Phone
(972) 659-1234

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care
Clinic/Center - Occupational MedicineOccupational Medicine

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