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

Ethan William Gingras, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1225520455

Ethan William Gingras, NURSEPRACTITIONER is a Nurse Practitioner in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with Citydoc Urgent Care Center 3 , PLLC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

39769 I-20
Dallas, TX 75237
Phone: (972) 780-0802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3090 N Goliad St, Rockwall, TX 75087-7007 — (972) 722-0011

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP137475 (TX)

Record details

NPI number1225520455
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Citydoc Urgent Care Center 3 ,Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Dallas