Provider Demographics
NPI:1548411663
Name:PLANNED PARENTHOOD OF NORTH TEXAS - PLANO HEALTH SERVICES
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF NORTH TEXAS - PLANO HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF CLINIC OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-363-2004
Mailing Address - Street 1:1400 SUMMIT AVE
Mailing Address - Street 2:STE CA
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-8105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7424 GREENVILLE AVE
Practice Address - Street 2:STE. 206
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4534
Practice Address - Country:US
Practice Address - Phone:214-363-2004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLANNED PARENTHOOD OF NORTH TEXAS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1364812-33Medicaid