PEDIATRIC PLASTIC SURGERY PLLC NPI 1558419358

NPI Information

PEDIATRIC PLASTIC SURGERY, PLLC is a plastic and reconstructive surgery surgery in Dallas, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. PEDIATRIC PLASTIC SURGERY, PLLC NPI is 1558419358. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7777 FOREST LN STE C528
DALLAS, TX
ZIP 75230-848
Phone: (972) 331-7711
Fax: (972) 331-1911

The provider's authorized official is Juli A Smiddy .
The authorized official title is Practice Administrator and has the following contact phone number (972) 331-7711.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 4/16/2021.

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:

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