Henry C Jefferson MD Pllc

NPI #1578706735 in Dallas, Texas

Provider Information

NPI Number: 1578706735
Entity Type: Organization
Organization Name: Henry C Jefferson MD Pllc
Primary Specialty: Surgery
Enumeration Date: Apr 16, 2009
Last Updated: Mar 19, 2010

Practice Location

Address: 221 W COLORADO BLVD
Address 2: PAV II STE 829
City: Dallas
State: Texas
ZIP Code: 75208-2363
Phone: (214) 942-3295

Authorized Official

Name: DR. HENRY CHARLES JEFFERSON, M.D.
Title: PHYSICIAN
Phone: (214) 942-3295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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