ETHAN WILLIAM GINGRAS

DALLAS, TX
NPI1225520455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP137475)
Enumeration Date2018-06-04
Last Update Date2023-03-31
Business Address
ETHAN WILLIAM GINGRAS Nurse Practitioner
39769 I-20
DALLAS, TX 75237
Phone number: 972-780-0802
Mailing Address
ETHAN WILLIAM GINGRAS Nurse Practitioner
798 DEVERSON DR
ROCKWALL, TX 75087-7172
Phone number: 469-396-3360