| Las Colinas Primary Care Pllc | |
|
215 S Denton Tap Rd Suite 170 Coppell TX 75019-3229 | |
| (972) 906-9130 | |
| Not Available |
| Full Name | Las Colinas Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 215 S Denton Tap Rd, Coppell, Texas |
| Authorized Official Name and Position | Jeff Henderson (PRESIDENT) |
| Authorized Official Contact | 9724018726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Colinas Primary Care Pllc 215 S Denton Tap Rd Suite 170 Coppell TX 75019-3229 Ph: (972) 906-9130 | Las Colinas Primary Care Pllc 215 S Denton Tap Rd Suite 170 Coppell TX 75019-3229 Ph: (972) 906-9130 |
| NPI Number | 1407094543 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 08/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407094543 | NPI | - | NPPES |
| 202722901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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