| Plaza Primary Care Pllc | |
|
1571 Sw Wilshire Blvd Suite 500 Burleson TX 76028-8716 | |
| (817) 295-1121 | |
| (817) 295-8170 |
| Full Name | Plaza Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1571 Sw Wilshire Blvd, Burleson, 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 |
|---|---|
| Plaza Primary Care Pllc 1571 Sw Wilshire Blvd Suite 500 Burleson TX 76028-8716 Ph: (817) 295-1121 | Plaza Primary Care Pllc 1571 Sw Wilshire Blvd Suite 500 Burleson TX 76028-8716 Ph: (817) 295-1121 |
| NPI Number | 1720223662 |
|---|---|
| Provider Enumeration Date | 12/05/2008 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720223662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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