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Organization

COLLIN COUNTY DIAGNOSTIC ASSOCIATES PLLC

Active
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Organization

COLLIN COUNTY DIAGNOSTIC ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF HENDERSON (PRESIDENT)
(615) 373-7600
Entity
Organization

Contact information

Practice address
8080 STATE HIGHWAY 121, SUITE 360, MCKINNEY, TX 75070-2901
(214) 383-6676
(214) 383-6677
Mailing address
8080 STATE HIGHWAY 121, SUITE 360, MCKINNEY, TX 75070-2901
(214) 383-6676
(214) 383-6677

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197920501
TX
Enumeration date
04/28/2008
Last updated
04/10/2009
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