Organization
ARLINGTON PRIMARY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (PRESIDENT)
(972) 401-8726
Entity
Organization
Contact information
Practice address
920 HIGHWAY 287 N, STE 300, MANSFIELD, TX 76063-2627
(817) 539-0770
(817) 539-0772
Mailing address
920 HIGHWAY 287 N, STE 300, MANSFIELD, TX 76063-2627
(817) 539-0770
(817) 539-0772
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010RH
BLUE CROSS BLUE SHIELD
TX
05
—
197911401
—
TX
Enumeration date
04/28/2008
Last updated
02/14/2009
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