| Organization Name: | SUMMIT THERAPEUTIC CONCEPTS OF ENNIS LLC |
| NPI Number: | 1306081070 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN A COLE (OWNER) |
| Mailing Address: | 2200 Physicians Boulevard Ste D Ennis |
| State: | TX US |
| Postal Code: | 75119 |
| Phone Number: | 2143698555 |
| Fax Number: | 2143692683 |
| NPI Enumeration Date: | 12/10/2008 |
| NPI Last Update Date: | 07/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |