Individual
JAIME HAIDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 W 15TH ST, PLANO, TX 75093-5803
(972) 985-7474
Mailing address
4100 W 15TH ST, PLANO, TX 75093-5803
(972) 985-7474
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M8697
TX
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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