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Jeffrey C. Komenda, M.d., P.a.
Clinic/Center in Plano, Texas
NPI 1003800434

Jeffrey C. Komenda, M.d., P.a. is a Clinic/Center based in Plano, TX. Jeffrey C. Komenda, M.d., P.a. practices in Plano, TX. The NPI Number for Jeffrey C. Komenda, M.d., P.a. is 1003800434 and holds a License No. H6350 (Texas).

The current practice location address for Jeffrey C. Komenda, M.d., P.a. is 5944 W Parker Rd, Plano, TX and can be reached out via phone at 972-608-1868 and via fax at 972-943-8644.

Location: 5944 W Parker Rd, Plano, TX, 75093-6422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003800434
Provider Name
Jeffrey C. Komenda, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
5944 W Parker Rd, Plano, TX, 75093-6422
Phone Number
972-608-1868
Fax Number
972-943-8644
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124934405 05 TX
165802302 05 TX
10018514 01 TX AMERIGROUP
165802301 05 TX
institution
Provider Business Practice Location Address Details
Address
5944 W Parker Rd
City
Plano
State
Texas
Zip
75093-6421
Phone Number
972-608-1868
Fax Number
972-943-8644
person
Provider Business Mailing Address Details
Address
5944 W Parker Rd
City
Plano
State
Texas
Zip
75093-6421
Phone Number
972-608-1868
Fax Number
972-943-8644
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
H6350 (Texas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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