| West Lpn Inc | |
|
3900 W 15th St Suite 208 Plano TX 75075-7751 | |
| (972) 519-8300 | |
| (972) 519-8337 |
| Full Name | West Lpn Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3900 W 15th St, Plano, 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 |
|---|---|
| West Lpn Inc 3900 W 15th St Suite 208 Plano TX 75075-7751 Ph: (972) 519-8300 | West Lpn Inc 3900 W 15th St Suite 208 Plano TX 75075-7751 Ph: (972) 519-8300 |
| NPI Number | 1518034933 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518034933 | NPI | - | NPPES |
| 176917604 | Medicaid | TX | |
| 176917601 | Medicaid | TX | |
| 176917603 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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