Provider Type Icon

GENECOV PLASTIC SURGERY GROUP NPI 1417021247


NPI Information

NPI: 1417021247
Provider Name: GENECOV PLASTIC SURGERY GROUP

Doing Business As: CRANIOFACIAL IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
7777 FOREST LN
SUITE B312
DALLAS, TX
ZIP 75230
Phone: (972) 566-6555
Get Directions

GENECOV PLASTIC SURGERY GROUP is a radiology clinic center in Dallas, TX. GENECOV PLASTIC SURGERY GROUP NPI is 1417021247. The provider is registered as an organization entity type.
The provider Is Doing Business As Craniofacial Imaging.

The provider's business location address is:

7777 FOREST LN
SUITE B312
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 Physician and has the following contact phone number (972) 566-6555.

The enumeration date for this NPI number is 11/20/2006 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
1261QR0200XClinic/CenterRadiologyNATEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.