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REGIONAL PLASTIC SURGERY CENTER PA NPI 1306056999


NPI Information

NPI: 1306056999
Provider Name: REGIONAL PLASTIC SURGERY CENTER PA
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
3201 E PRESIDENT GEORGE BUSH HWY
SUITE 3201
RICHARDSON, TX
ZIP 75082
Phone: (972) 470-5000
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REGIONAL PLASTIC SURGERY CENTER PA is a plastic and reconstructive surgery surgery in Richardson, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. REGIONAL PLASTIC SURGERY CENTER PA NPI is 1306056999. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3201 E PRESIDENT GEORGE BUSH HWY
SUITE 3201
RICHARDSON, TX
ZIP 75082-566
Phone: (972) 470-5000
Fax: (972) 470-5007

The provider's authorized official is Denton Watumull .
The authorized official title is Physician and has the following contact phone number (972) 470-5000.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 2/12/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0105XSurgerySurgery of the HandNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100T58EMEDICARE ID-TYPE UNSPECIFIED
200239RMEDICARE ID-TYPE UNSPECIFIED

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: 5/5/2024
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