Provider Demographics
NPI:1992711378
Name:ENNIS VETERINARY CLINIC PC
Entity type:Organization
Organization Name:ENNIS VETERINARY CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:CHANCELLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:972-875-2647
Mailing Address - Street 1:3101 NORTH KAUFMAN ST
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-7920
Mailing Address - Country:US
Mailing Address - Phone:972-875-2647
Mailing Address - Fax:972-875-2648
Practice Address - Street 1:3101 NORTH KAUFMAN ST
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-7920
Practice Address - Country:US
Practice Address - Phone:972-875-2647
Practice Address - Fax:972-875-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty