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EAR NOSE & THROAT CARE PA NPI 1013026228


NPI Information

NPI: 1013026228
Provider Name: EAR NOSE & THROAT CARE, PA
Classification: Otolaryngology - 207YX0007X
Entity Type: Organization

Specialization: Plastic Surgery within the Head & Neck

Address:
2448 W ILLINOIS AVE
DALLAS, TX
ZIP 75233
Phone: (214) 330-7028
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EAR NOSE & THROAT CARE, PA is a plastic surgery within the head and neck otolaryngology in Dallas, TX. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. EAR NOSE & THROAT CARE, PA NPI is 1013026228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2448 W ILLINOIS AVE
DALLAS, TX
ZIP 75233-106
Phone: (214) 330-7028
Fax: (214) 330-8497

The provider's authorized official is Lynda Visher-west .
The authorized official title is Physician/secretary Of Pa and has the following contact phone number (214) 330-7028.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/4/2020.


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
1207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckH2880TEXASYes

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
1083275001MEDICAIDTEXAS

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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