Plaza Primary Care Pllc

NPI #1720223662 in Burleson, Texas

Provider Information

NPI Number: 1720223662
Entity Type: Organization
Organization Name: Plaza Primary Care Pllc
Primary Specialty: Family Medicine
Enumeration Date: Dec 5, 2008
Last Updated: Feb 18, 2009

Practice Location

Address: 1571 SW WILSHIRE BLVD
Address 2: SUITE 500
City: Burleson
State: Texas
ZIP Code: 76028-8716
Phone: (817) 295-1121

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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