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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