General and Vascular Surgery of Ennis PA

NPI #1679564124 in Ennis, Texas

Provider Information

NPI Number
1679564124
Entity Type
Organization
Organization Name
General and Vascular Surgery of Ennis PA
Primary Specialty
Surgery
Enumeration Date
Nov 3, 2005
Last Updated
Jun 14, 2024

Practice Location

Address
802 W LAMPASAS ST
City
Ennis
State
Texas
ZIP Code
75119-4500
Phone
(972) 878-4700

Authorized Official

Name
JOHN M SULLIVAN, MD
Title
OWNER
Phone
(972) 878-4700

Specialties & Taxonomy Codes

Specialty
Surgery

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