Organization
ELITE FAMILY HEALTH OF PLANO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (PRESIDENT)
(615) 373-7600
Entity
Organization
Contact information
Practice address
2595 DALLAS PKWY, SUITE 403, FRISCO, TX 75034-8527
(469) 362-8282
(469) 362-8283
Mailing address
2595 DALLAS PKWY, SUITE 403, FRISCO, TX 75034-8527
(469) 362-8282
(469) 362-8283
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061RL
BCBS
TX
Enumeration date
04/28/2008
Last updated
09/30/2008
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