Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

General and Vascular Surgery of Ennis PA

Organization Surgery Physician · NPI 1679564124

General and Vascular Surgery of Ennis PA is a Surgery Physician 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

Other providers in Ennis