Organization
GREEN OAKS HOSPITAL SUBSIDIARY, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON VICE PRESIDENT (VICE PRESIDENT)
(972) 401-8720
Entity
Organization
Contact information
Practice address
4001 W 15TH ST, SUITE 465, PLANO, TX 75093-5841
(972) 396-4136
(972) 396-4143
Mailing address
4001 WEST 15TH STREET, SUITE 465, PLANO, TX 75093
(972) 396-4136
(972) 396-4143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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