Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

General and Vascular Surgery of Ennis PA

Organization Surgery Physician · NPI 1679564124

General and Vascular Surgery of Ennis PA provides Surgery Physician services in Ennis, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

802 W Lampasas St
Ennis, TX 75119-4500
Phone: (972) 878-4700
Fax: (972) 878-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (TX)

Record details

NPI number1679564124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Sullivan — Owner · (972) 878-4700
NPI enumeratedNovember 3, 2005
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address802 W Lampasas St, Ennis, TX 75119-4500

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