Organization
JEFFREY C. KOMENDA, M.D., P.A.
Active
Parent organization
JEFFREY C. KOMENDA, M.D., P.A.
Other names
Best Choice Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFREY C. KOMENDA, M.D., P.A.
Authorized official
MRS. TAMMY TICKLE KOMENDA (OFFICE MANAGER)
(972) 608-1868
Entity
Organization
Contact information
Practice address
1305 S SH 121, STE C-108, LEWISVILLE, TX 75067-5915
(972) 608-1868
(972) 943-8644
Mailing address
5944 W PARKER RD STE 100, PLANO, TX 75093-6422
(972) 608-1868
(972) 943-8644
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H6350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007QN
BC/BS GROUP NUMBER
TX
01
—
10018514
AMERIGROUP
TX
05
—
165802301
—
TX
01
—
165802302
MEDICAID HEALTH STEPS
TX
01
—
8AJ618
BC/BS INDIVIDUAL
TX
Enumeration date
12/31/2007
Last updated
08/11/2008
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