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Organization
PLAZA PRIMARY CARE PLLC
Active
Organization
PLAZA PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (PRESIDENT)
(972) 401-8726
Entity
Organization
Contact information
Practice address
1571 SW WILSHIRE BLVD, SUITE 500, BURLESON, TX 76028-8716
(817) 295-1121
(817) 295-8170
Mailing address
1571 SW WILSHIRE BLVD, SUITE 500, BURLESON, TX 76028-8716
(817) 295-1121
(817) 295-8170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2008
Last updated
02/18/2009
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