JEFFREY A FEARON MD P A NPI 1851439780

NPI Information

NPI: 1851439780
Provider Name: JEFFREY A FEARON MD P A

Doing Business As: THE CRANIOFACIAL CENTER

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
7777 FOREST LN STE C700
DALLAS, TX
ZIP 75230
Phone: (972) 566-6464
Get Directions

JEFFREY A FEARON MD P A is a plastic and reconstructive surgery surgery in Dallas, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. JEFFREY A FEARON MD P A NPI is 1851439780. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Craniofacial Center.

The provider's business location address is:

7777 FOREST LN STE C700
DALLAS, TX
ZIP 75230-518
Phone: (972) 566-6464
Fax: (972) 566-6279

The provider's authorized official is Alondra E Tipps .
The authorized official title is Practice Administrator and has the following contact phone number (972) 566-6464.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 2/16/2017.

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	2086S0122X	Surgery	Plastic and Reconstructive Surgery	H8638	TEXAS	Yes

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
1	00F48L	MEDICARE PIN	TEXAS
2	=========	OTHER	TEXAS	TAX ID NUMBER
3	A58854	MEDICARE UPIN	TEXAS
4	093725201	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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