Organization · NPI-2

Coyness L. Ennix Jr., M.D., INC.

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Oakland, CA

NPI number1689832610
StatusActive
Last updated in NPPESMay 27, 2008

Details

NPI
1689832610
Entity type
Organization (NPI-2)
Legal business name
Coyness L. Ennix Jr., M.D., INC.
Organization subpart
No
Enumeration date
May 27, 2008
Last updated
May 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)C39990CAYes

Practice location

3300 Webster St
Suite 404
Oakland, CA 94609-3117

Phone 510-465-5500 · Fax 510-835-2682

Mailing address

3300 Webster St
Suite 404
Oakland, CA 94609-3117

Phone 510-465-5500 · Fax 510-835-2682

Authorized official

Coyness Loyal Ennix
President
5104655500

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Oakland, CA