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GENECOV PLASTIC SURGERY GROUP NPI 1306934724


NPI Information

NPI: 1306934724
Provider Name: GENECOV PLASTIC SURGERY GROUP

Doing Business As: GENECOV PLASTIC SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7777 FOREST LN
SUITE C720
DALLAS, TX
ZIP 75230
Phone: (972) 566-6555
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GENECOV PLASTIC SURGERY GROUP is an ambulatory surgical clinic center in Dallas, TX. GENECOV PLASTIC SURGERY GROUP NPI is 1306934724. The provider is registered as an organization entity type.
The provider Is Doing Business As Genecov Plastic Surgery Center.

The provider's business location address is:

7777 FOREST LN
SUITE C720
DALLAS, TX
ZIP 75230-505
Phone: (972) 566-6555
Fax: (972) 566-6017

The provider's authorized official is David G Genecov .
The authorized official title is Medical Director and has the following contact phone number (972) 566-6555.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.


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
1261QA1903XClinic/CenterAmbulatory Surgical1833TEXASYes

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
1HH1564OTHERTEXASBCBS OF TEXAS

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: 11/14/2023

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