Organization
HIDDEN LAKES HEALTH CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (VP)
(972) 401-8720
Entity
Organization
Contact information
Practice address
8861 DAVIS BOULEVARD, KELLER, TX 76248
(817) 753-6561
(817) 753-6598
Mailing address
8861 DAVIS BOULEVARD, KELLER, TX 76248
(817) 753-6561
(817) 753-6598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
10/04/2011
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