Organization
PLAZA TRANSPLANT CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (VP)
(972) 401-8720
Entity
Organization
Contact information
Practice address
909 9TH AVE, SUITE 400, FORT WORTH, TX 76104-3903
(999) 999-9999
Mailing address
909 9TH AVE, SUITE 400, FORT WORTH, TX 76104-3903
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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