Emergency Medicine, Sports Medicine
JUSTIN ENNIS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1023527314 · enumerated 2017-09-29 · record updated 2017-09-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1500 S AVENUE K, PORTALES, NM, 88130-7400 (760) 525-2087 Google Maps Apple Maps OpenStreetMap
- Mailing address 1500 S AVENUE K # 17, PORTALES, NM, 88130-7400 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine, Sports Medicine 207PS0010X · Primary · License 720 NM
In this directory
NM Roosevelt County Portales Emergency Medicine, Sports Medicine
Locations and evidence
-
Practice location
PORTALES, NM, 881307400
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.