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TEXAS CENTER FOR BREAST RECONSTRUCTION NPI 1992708721


NPI Information

NPI: 1992708721
Provider Name: TEXAS CENTER FOR BREAST RECONSTRUCTION

Former Legal Business Name: FREDERICK J. DUFFY, JR., M.D., P.A.

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
7777 FOREST LN
STE C504
DALLAS, TX
ZIP 75230
Phone: (972) 566-3939
Get Directions

TEXAS CENTER FOR BREAST RECONSTRUCTION is a plastic surgery in Dallas, TX. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. TEXAS CENTER FOR BREAST RECONSTRUCTION NPI is 1992708721. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Frederick J. Duffy, Jr., M.d., P.a..

The provider's business location address is:

7777 FOREST LN
STE C504
DALLAS, TX
ZIP 75230
Phone: (972) 566-3939
Fax: (972) 566-3999

The provider's authorized official is Brice W Mckane .
The authorized official title is President and has the following contact phone number (972) 566-3939.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 11/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckK2452TEXASNo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckM1233TEXASNo
3208200000XPlastic SurgeryK2452TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1120616104MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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