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Organization
WEST LPN INC
Active
Organization
WEST LPN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (PRESIDENT)
(972) 401-8726
Entity
Organization
Contact information
Practice address
3900 W 15TH ST, SUITE 208, PLANO, TX 75075-7751
(972) 519-8300
(972) 519-8337
Mailing address
3900 W 15TH ST, SUITE 208, PLANO, TX 75075-7751
(972) 519-8300
(972) 519-8337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176917601
—
TX
05
—
176917603
—
TX
05
—
176917604
—
TX
Enumeration date
11/29/2006
Last updated
05/13/2008
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