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Dr. Jeffrey Craig Komenda, MD
Clinic/Center in Plano, Texas
NPI 1396934865

Jeffrey Craig Komenda is a Clinic/Center based in Plano, TX. Jeffrey Craig Komenda practices in Plano, TX and has the professional credentials of MD. The NPI Number for Jeffrey Craig Komenda is 1396934865 and holds a License No. H6350 (Texas).

The current practice location address for Jeffrey Craig Komenda 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. You can also correspond with Jeffrey Craig Komenda through the mailing address at 5944 W PARKER RD STE 100, PLANO, TX - 75093-6422 (mailing address contact number: 972-608-1868).

Location: 5944 W Parker Rd, Plano, TX, 75093-6422
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Provider Profile Details
NPI Number
1396934865
Provider Name
Jeffrey Craig Komenda
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5944 W Parker Rd, Plano, TX, 75093-6422
Phone Number
972-608-1868
Fax Number
972-943-8644
Provider Enumeration Date
10/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10018514 01 TX AMERIGROUP
124934405 05 TX
165802301 01 TX MEDICAID GROUP
165802302 01 TX MEDICAID TEXAS HEALTH STE
institution
Provider Business Practice Location Address Details
Address
5944 W Parker Rd
City
State
Zip
75093-6421
Phone Number
972-608-1868
Fax Number
972-943-8644
person
Provider Business Mailing Address Details
Address
5944 W Parker Rd Ste 100
City
State
Zip
75093-6422
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
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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