Las Colinas Primary Care Pllc

NPI #1407094543 in Coppell, Texas

Provider Information

NPI Number: 1407094543
Entity Type: Organization
Organization Name: Las Colinas Primary Care Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jan 28, 2009
Last Updated: Aug 19, 2009

Practice Location

Address: 215 S DENTON TAP RD
Address 2: SUITE 170
City: Coppell
State: Texas
ZIP Code: 75019-3229
Phone: (972) 906-9130

Authorized Official

Name: JEFF HENDERSON
Title: PRESIDENT
Phone: (972) 401-8726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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