PRECIOUS ANTONIO (NPI# 1912549874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912549874 |
| Entity Type | Individual |
| Full Name | PRECIOUS ANTONIO |
| Credential | NP |
| Practice Address |
601 S Clay St Ste 104 Ennis TX 75119-5771 |
| Mailing Address |
7215 Laguna Grand Prairie TX 75054-0138 |
| Practice Telephone | 9728756600 |
| Mailing Telephone | 8436708889 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | AP143504 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
601 S CLAY ST STE 104 |
| City | ENNIS |
| State | TX |
| Zip Code | 75119-5771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649642497 | Sheletha Renee Bratton | Nurse Practitioner | 601 S Clay St Ste 104, Ennis, TX 75119-5771 | 2015-10-20 |
| 1306300090 | Jareka Lynne Anderson | Nurse Practitioner | 601 S Clay St Ste 104, Ennis, TX 75119-5771 | 2019-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
| 1285279158 | Oluchi Ozumba Md Pa | Pain Medicine | 601 S Cly St, Suite 104, Ennis, TX 75119 | 2019-11-14 |
| 1952806085 | Ikids Pediatric Dentistry Ennis, Pllc | Dentist | 711 S Clay St Ste A, Ennis, TX 75119 | 2018-03-29 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1912363300 | Erin Denise Jackson | Counselor | 219 W. Brown St, Suite A, Ennis, TX 75119 | 2016-01-14 |
| 1164769139 | Matthew Garrett Cooper | Nurse Anesthetist, Certified Registered | 2201 W. Lampasas Street, Ennis, TX 75119 | 2013-01-11 |
| 1922343805 | Braces R Us PC | Dentist | 1012 E. Ennis Ave. Ste. C, Ennis, TX 75119 | 2012-12-04 |
| 1154684355 | Stefanie Nicole Rust | Emergency Medicine | 2201 West Lampasas Street, Ennis, TX 75119 | 2012-06-21 |
| 1265710909 | Traditions Health Care of Ennis, LLC | Home Health | 109 Southwest Main Street, Suite A, Ennis, TX 75119 | 2011-07-29 |
| 1578792370 | Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | 2200 Physicians Blvd, Ste D, Ennis, TX 75119 | 2009-07-14 |
| Find all providers in zip 75119 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417077207 | Raymond Wesley Blair Jr. | Family Medicine | 2203 W Lampasas St Ste 101, Ennis, TX 75119-5644 | 2007-03-29 |
| 1104843705 | Thomas Tran | Family Medicine | 2203 W Ennis Ave, Suite 300, Ennis, TX 75119-8050 | 2006-07-17 |
| 1750314860 | Jaye T Swoboda | Family Medicine | 219 North Main St, Ennis, MT 59729-0547 | 2006-07-09 |
| 1598711673 | Robert D Marks | Family Medicine | 305 E Main St, Ennis, MT 59729-9043 | 2006-05-26 |
| 1306890645 | Danny Blayne Laws | Family Medicine | 717 W Lampasas St, Ennis, TX 75119-4533 | 2006-05-20 |
| 1316911233 | Bill Ray Lee | Family Medicine | 2203 W Lampasas St, Suite 211, Ennis, TX 75119-5644 | 2006-02-15 |
| 1932194784 | Carson Curtis Blake | Family Medicine | 305 N. Main, Ennis, MT 59729 | 2005-09-19 |
| 1093714826 | John Bruno Arkusinski | Family Medicine | 2203 W Lampasas St Ste 218, Ennis, TX 75119-5644 | 2005-07-14 |
| 1477991230 | David Joseph Newton | Family Medicine | 305 N Main St, Ennis, MT 59729-8001 | 2013-06-13 |
| 1629324991 | Thomas T. Tran Md Pa Ennis Family Medicine | Family Medicine | 2203 W Ennis Ave, Suite 300, Ennis, TX 75119-8050 | 2012-07-24 |
| Find all providers in ENNIS | ||||
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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.