ORAL CANCER RECONSTRUCTIVE SURGEONS OF TEXAS PLLC NPI 1336541820

NPI Information

NPI: 1336541820
Provider Name: ORAL CANCER RECONSTRUCTIVE SURGEONS OF TEXAS PLLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
359 KELLER PKWY
KELLER, TX
ZIP 76248
Phone: (817) 431-6995
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ORAL CANCER RECONSTRUCTIVE SURGEONS OF TEXAS PLLC is a customized equipment durable medical equipment medical supplies in Keller, TX. ORAL CANCER RECONSTRUCTIVE SURGEONS OF TEXAS PLLC NPI is 1336541820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

359 KELLER PKWY
KELLER, TX
ZIP 76248-206
Phone: (817) 431-6995

The provider's authorized official is Misty Brown .
The authorized official title is Owner and has the following contact phone number (817) 431-6995.

The enumeration date for this NPI number is 9/16/2014 and was last updated on 9/16/2014.

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
1	1223G0001X	Dentist	General Practice			No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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

NPI Synchronization or Removal

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