Organization
DALLAS NEURO STROKE AFFILIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (PRESIDENT)
(972) 401-8726
Entity
Organization
Contact information
Practice address
7777 FOREST LN, STE C-300, DALLAS, TX 75230-2505
(972) 566-7260
Mailing address
7777 FOREST LN, STE C-300, DALLAS, TX 75230-2505
(972) 566-7260
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194688101
—
TX
Enumeration date
01/11/2008
Last updated
11/12/2008
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