Organization
HENNACARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY REED (OFFICE MANAGER)
(972) 413-9168
Entity
Organization
Contact information
Practice address
1023 NORTHWEST HWY, GARLAND, TX 75041-5831
(972) 352-3800
Mailing address
1023 NORTHWEST HWY, GARLAND, TX 75041-5831
(972) 352-3800
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
01/12/2021
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