ECCARE PROFESSIONAL ASSOCIATION OF TEXAS P.A. (NPI# 1740618206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740618206 |
| Entity Type | Organization |
| Organization Name | ECCARE PROFESSIONAL ASSOCIATION OF TEXAS P.A. |
| Other Organization Name | ECCARE HEALTH CENTERS OF TEXAS |
| Practice Address |
561 N Graham St Stephenville TX 76401-3548 |
| Mailing Address |
Po Box 153068 Irving TX 75015-3068 |
| Practice Telephone | 2544346400 |
| Practice Fax Number | 2549656505 |
| Mailing Telephone | 9726591234 |
| Mailing Fax Number | 9728270195 |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | GREGORY P. ENNIS (PRESIDENT, CEO) |
| Authorized Official Telephone | 9726591234 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
801865115 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EcCare Health Centers of Texas | Other Name - Individual/Organization |
| Street Address |
561 N GRAHAM ST |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278466 | Larry Mark Bragg | Surgery | 561 N Graham St, Stephenville, TX 76401-3548 | 2005-07-14 |
| 1114573144 | Mark G Mishak II | Physician Assistant | 561 N Graham St, Stephenville, TX 76401-3548 | 2019-08-15 |
| 1376092841 | Sarah Maass | Physician Assistant | 561 N Graham St, Stephenville, TX 76401-3548 | 2016-09-26 |
| 1649624750 | Alana Lund Waterford | Family Medicine | 561 N Graham St, Stephenville, TX 76401-3548 | 2016-04-15 |
| 1285011502 | Jillian Kaye Mcangus | Orthopaedic Surgery | 561 N Graham St, Stephenville, TX 76401-3548 | 2015-05-06 |
| 1821353400 | Akas Siddiqui | Internal Medicine | 561 N Graham St, Stephenville, TX 76401-3548 | 2012-07-10 |
| 1164717963 | Matthew C Maruska | Emergency Medicine | 561 N Graham St, Stephenville, TX 76401-3548 | 2011-06-09 |
| 1972785640 | Larry Bragg Md Pa | Surgery | 561 N Graham St, Stephenville, TX 76401-3548 | 2007-12-04 |
| 1699870808 | Cross Timbers Orthopaedics | Specialist | 561 N Graham St, Stephenville, TX 76401-3548 | 2006-09-13 |
| 1811927403 | Randall Dwight Foster | Physician Assistant | 561 N Graham St, Stephenville, TX 76401-3548 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643406 | Occupational Healthcare Plus Pllc | Clinic/Center | 835 Tower Dr Ste 7, Odessa, TX 79761-4251 | 2020-09-14 |
| 1881208353 | Canopy Therapy Services, LLC | Clinic/Center | 909 Linden St Ste 2, Austin, TX 78702-3628 | 2020-09-02 |
| 1720696263 | Sa Therapy LLC | Clinic/Center | 5414 Fredericksburg Rd Ste 240, San Antonio, TX 78229-3641 | 2020-07-21 |
| 1306493515 | Libra Ot Pllc | Clinic/Center | 3105 W 15th St Ste A-3, Plano, TX 75075-7700 | 2019-08-22 |
| 1932769825 | Crenshaw Occupational Practice, Pllc | Clinic/Center | 5030 Crenshaw Rd Ste 124, Pasadena, TX 77505-3141 | 2019-06-13 |
| 1699237800 | Prime Occupational Physicians - Texas | Clinic/Center | 3749 Highway 69 N, Beaumont, TX 77705-1466 | 2019-04-05 |
| 1184148280 | Usa Federal | Clinic/Center | 1123 E 9th St Ste 14, Mission, TX 78572-4404 | 2017-07-31 |
| 1770022469 | Swelling Treatment Center, LLC | Clinic/Center | 12606 Greenville Ave Ste 205, Dallas, TX 75243-1927 | 2017-02-15 |
| 1972950947 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1201 Leopard St, 6th Floor, Corpus Christi, TX 78401-2120 | 2016-05-19 |
| 1477919389 | Lymphedema Medical Center, LLC | Clinic/Center | 5410 Fredericksburg Rd Ste 102, San Antonio, TX 78229-3550 | 2016-01-07 |
| Find all providers with the same taxonomy | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.