Provider Demographics
NPI:1891158853
Name:ENCOMPASS PHYSICIANS GROUP
Entity Type:Organization
Organization Name:ENCOMPASS PHYSICIANS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:RUDOLPH
Authorized Official - Last Name:NAIFEH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:214-956-6995
Mailing Address - Street 1:7108 ENVOY CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-5102
Mailing Address - Country:US
Mailing Address - Phone:214-956-6995
Mailing Address - Fax:214-956-6987
Practice Address - Street 1:7108 ENVOY CT
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-5102
Practice Address - Country:US
Practice Address - Phone:214-956-6995
Practice Address - Fax:214-956-6987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11532111N00000X
TX10867111N00000X
TXE2567207Q00000X
TXP81312081P2900X
TX1127405225100000X
TX774559363LF0000X
TX809344363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty