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Organization
CARDIO VASCULAR SURGEONS OF NORTH TEXAS, PLLC
Active
Organization
CARDIO VASCULAR SURGEONS OF NORTH TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (PRESIDENT)
(972) 401-8720
Entity
Organization
Contact information
Practice address
3900 W 15TH ST, STE 208, PLANO, TX 75075-7751
(972) 519-8300
(972) 519-8337
Mailing address
3900 W 15TH ST, STE 208, PLANO, TX 75075-7751
(972) 519-8300
(972) 519-8337
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO9080
RR MEDICARE PIN
TX
01
—
P00732705
RAILROAD MEDICARE PTAN
TX
Enumeration date
03/12/2009
Last updated
11/22/2009
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