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Organization
WINDHAVEN ADOLESCENT MEDICINE
Active
Organization
WINDHAVEN ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SCALFANO MD (OWNER)
(972) 403-5437
Entity
Organization
Contact information
Practice address
6300 W PARKER RD, SUITE 324, PLANO, TX 75093-8100
(972) 403-5437
(972) 403-5438
Mailing address
6300 W PARKER RD, SUITE 324, PLANO, TX 75093-8100
(972) 403-5437
(972) 403-5438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K1659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8X7180
BCBS
TX
Enumeration date
05/22/2008
Last updated
05/23/2008
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