Henry C Jefferson MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J0020 Issued in TX

Legal business name

HENRY C JEFFERSON MD PLLC

Practice address

221 W Colorado Blvd
Pav II Ste 829
Dallas, TX 75208-2363

Phone

(214) 942-3295

Fax

(214) 946-4491

NPI assigned

Apr 16, 2009

Last updated

Mar 19, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Henry Charles Jefferson, M.D.NPI 1518900497

Title

Physician

Phone

(214) 942-3295

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Henry C Jefferson, M.D.

  • Surgery Physician
  • Dallas, TX
  • NPI 1518900497
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1578706735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "PAV II STE 829",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "214-942-3295",
            "fax_number": "214-946-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD",
            "address_2": "PAV II STE 829",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082363",
            "telephone_number": "214-942-3295",
            "fax_number": "214-946-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY C JEFFERSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-942-3295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J0020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207721601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara A. Hennessy, M.D.
• Rachel Krystia Hennig, OTR
• Anna Henricks, MD
• Christine Elizabeth Henricks, DO
• Sonia Maria Henriques, LPC-A
• Henry R Armstrong MD PA
• Albert Carl Henry III, MD
• Arline Henry
• Bruce Beaumont Henry, M.D.
• Darby Leigh Henry, SLP

• Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.