Jeffrey C. Komenda, M.D., P.A. in Plano - Clinic/center
Jeffrey C. Komenda, M.D., P.A. - NPI 1972788628
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 1972788628. The last update date is 2008-08-11.
Jeffrey C. Komenda, M.D., P.A.'s current location address is 5944 W Parker Rd Ste 100, 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 Ste 100, 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 Ste 100, Plano, Texas |
| Phone Number | 9726081868 |
| Fax Number | 9729438644 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Komenda Tickle Tammy |
| Telephone Number | 9726081868 |
NPI Number Detail
| NPI Number | 1972788628 |
|---|---|
| Provider Enumeration Date | 2007-12-31 |
| Last Updated Date | 2008-08-11 |
Provider Mailing Address Detail
| Address | 5944 W Parker Rd Ste 100 |
|---|---|
| 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 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 165802301 | TX | -- | |
| 165802302 | TX | MEDICAID HEALTH STEPS | |
| 10018514 | TX | AMERIGROUP | |
| 8AJ618 | TX | BC/BS INDIVIDUAL | |
| 0007QN | TX | BC/BS GROUP NUMBER |
Post Comment/ Review Below
What is the Jeffrey C. Komenda, M.D., P.A.'s unique identification number?
The Jeffrey C. Komenda, M.D., P.A. has been assigned the NPI (National Provider Identifier) Number 1972788628 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jeffrey C. Komenda, M.D., P.A. is physically located?
The Jeffrey C. Komenda, M.D., P.A. is situated at the following address: 5944 W Parker Rd Ste 100, Plano, TX 750936422.
What is Jeffrey C. Komenda, M.D., P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeffrey C. Komenda, M.D., P.A. is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
On what date did Jeffrey C. Komenda, M.D., P.A. receive its 1972788628 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey C. Komenda, M.D., P.A. was assigned its 1972788628 on 2007-12-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jeffrey C. Komenda, M.D., P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeffrey C. Komenda, M.D., P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-11.