Jeffrey C. Komenda, M.D., P.A.
May also be knows as Family Medicine At Willow Bend
Clinic/Center in Plano, TX(View on Map)
Legal Business Name
Jeffrey C. Komenda, M.D., P.A.
Also Known As
Family Medicine At Willow Bend
NPI Number
1003800434
NPI Type
Organization
Enumeration Date
08/31/2005
Specialties
(Taxonomies)Licenses
State
Texas
License Number
H6350
Contact
Information
Purpose
Mailing
Location
Address
5944 W PARKER RD
5944 W PARKER RD
City
Plano
Plano
State
TX
TX
Postal Code
75093-6422
75093-6421
Country
US
US
Telephone Number
(972) 608-1868
(972) 608-1868
Authorized Official
Name
Dr. Jeffrey Komenda
Title or Position
MEDICAL DOCTOR
Telephone Number
(972) 608-1868
Identifiers
Identifier
124934405
165802302
10018514
165802301
Identifier State
TX
TX
TX
TX
Identifier Issuer
Unknown
Unknown
AMERIGROUP
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/28/2012
Provider Address
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