Jeffrey C. Komenda, M.D., P.A. in Plano - Clinic/center

Jeffrey C. Komenda, M.D., P.A. - NPI 1003800434

Jeffrey C. Komenda, M.D., P.A. is a Clinic/center in Plano, Texas. Jeffrey C. Komenda, M.D., P.A. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Jeffrey C. Komenda, M.D., P.A. is 1003800434. The last update date is 2012-02-28.

Jeffrey C. Komenda, M.D., P.A.'s current location address is 5944 W Parker Rd, Plano, Texas. You can contact this provider via phone number 9726081868 and fax number 9729438644. The mailing address for Jeffrey C. Komenda, M.D., P.A. is 5944 W Parker Rd, Plano, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jeffrey C. Komenda, M.D., P.A.
Address 5944 W Parker Rd, Plano, Texas
Phone Number 9726081868
Fax Number 9729438644
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Komenda Craig Jeffrey
Credentials M.D.
Telephone Number 9726081868

NPI Number Detail

NPI Number 1003800434
Provider Enumeration Date 2005-08-31
Last Updated Date 2012-02-28

Provider Mailing Address Detail

Address 5944 W Parker Rd
City Plano
State Texas (TX)
Post Code 750936422
Phone Number 9726081868
Fax Number 9729438644

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No H6350
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
124934405 TX --
165802302 TX --
10018514 TX AMERIGROUP
165802301 TX --

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FAQs about Jeffrey C. Komenda, M.D., P.A.

What is the unique 10-digit identification code issued to Jeffrey C. Komenda, M.D., P.A. by the Centers for Medicare & Medicaid Services?

The Jeffrey C. Komenda, M.D., P.A. has been assigned the NPI (National Provider Identifier) 1003800434 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Jeffrey C. Komenda, M.D., P.A.'s physical address?

The Jeffrey C. Komenda, M.D., P.A. is physically located at 5944 W Parker Rd, in the city of Plano, TX, with the postal code 750936422.

What is Jeffrey C. Komenda, M.D., P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrey C. Komenda, M.D., P.A. is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.

When did Jeffrey C. Komenda, M.D., P.A. receive its 1003800434 assignment?

The Jeffrey C. Komenda, M.D., P.A. was assigned its 1003800434 on 2005-08-31, which is the date when this unique identifier was issued to the organization.

When was the Jeffrey C. Komenda, M.D., P.A.'s information last updated?

The Jeffrey C. Komenda, M.D., P.A.'s information was last updated on 2012-02-28.

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