Carenza, Jeffrey Wayne

Carenza, Jeffrey Wayne is an individual health care provider with primary practice located at 3901 W 15Th St , Plano TX 75075-7738. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Carenza, Jeffrey Wayne can be contacted via phone (972) 867-7962.

Contact Information

Primary practice address
3901 W 15Th St Plano TX 75075-7738
Phone: (972) 867-7962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X M9906 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2006013767 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M9906 Texas

Profile Details

NPI number 1205937547
LBN Legal business name Carenza, Jeffrey Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205937547 NPPES
Texas MEDICAID 198925301
Texas MEDICAID 198925302
Texas Other 8AB448

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