TEXAS CENTER FOR BREAST RECONSTRUCTION NPI 1992708721

NPI Information

NPI: 1992708721
Provider Name: TEXAS CENTER FOR BREAST RECONSTRUCTION
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
:
Address: 12201 MERIT DR.
SUITE 440
DALLAS, TX
ZIP 75251
Phone: (469) 501-1466

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NPI Details

TEXAS CENTER FOR BREAST RECONSTRUCTION is a plastic surgery in Dallas, TX. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. TEXAS CENTER FOR BREAST RECONSTRUCTION NPI is 1992708721. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

12201 MERIT DR.
SUITE 440
DALLAS, TX
ZIP 75251-122
Phone: (469) 501-1466
Fax: (469) 501-1465

The provider's authorized official is Frederick J. Duffy .
The authorized official title is President and has the following contact phone number (469) 501-1466.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 8/12/2025.

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	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	K2452	TEXAS	No
2	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	M1233	TEXAS	No
3	208200000X	Plastic Surgery		K2452	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	120616104	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: 11/21/2025

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