Organization
CARDIO VASCULAR SURGEONS OF NORTH TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (PRESIDENT)
(972) 401-8720
Entity
Organization
Contact information
Practice address
3900 W 15TH ST, STE 208, PLANO, TX 75075-7751
(972) 519-8300
(972) 519-8337
Mailing address
3900 W 15TH ST, STE 208, PLANO, TX 75075-7751
(972) 519-8300
(972) 519-8337
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO9080
RR MEDICARE PIN
TX
01
—
P00732705
RAILROAD MEDICARE PTAN
TX
Enumeration date
03/12/2009
Last updated
11/22/2009
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