Genecov Plastic Surgery Group, Pa in Dallas - Plastic Surgery Within The Head And Neck
Genecov Plastic Surgery Group, Pa - NPI 1164549887
Genecov Plastic Surgery Group, Pa is a Plastic Surgery Within The Head And Neck in Dallas, Texas. Genecov Plastic Surgery Group, Pa practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Genecov Plastic Surgery Group, Pa is 1164549887. The last update date is 2021-04-16.
Genecov Plastic Surgery Group, Pa's current location address is 7777 Forest Ln Ste C528, Dallas, Texas. You can contact this provider via phone number 9723311900 and fax number 9723311909. The mailing address for Genecov Plastic Surgery Group, Pa is 7777 Forest Ln Ste C528, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genecov Plastic Surgery Group, Pa |
|---|---|
| Address | 7777 Forest Ln Ste C528, Dallas, Texas |
| Phone Number | 9723311900 |
| Fax Number | 9723311909 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Smiddy Juli |
| Telephone Number | 9723311900 |
NPI Number Detail
| NPI Number | 1164549887 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2021-04-16 |
Provider Mailing Address Detail
| Address | 7777 Forest Ln Ste C528 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752306848 |
| Phone Number | 9723311900 |
| Fax Number | 9723311909 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
|
Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112848004 | TX | -- | |
| TXB102342 | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Genecov Plastic Surgery Group, Pa by the Centers for Medicare & Medicaid Services?
The Genecov Plastic Surgery Group, Pa has been issued the NPI (National Provider Identifier) 1164549887. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Genecov Plastic Surgery Group, Pa located?
The Genecov Plastic Surgery Group, Pa is located at 7777 Forest Ln Ste C528, Dallas, TX 752306848.
What is Genecov Plastic Surgery Group, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Genecov Plastic Surgery Group, Pa is Plastic Surgery Within The Head And Neck, and the taxonomy code that classifies this field of practice is 2082S0099X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164549887 to Genecov Plastic Surgery Group, Pa?
The Genecov Plastic Surgery Group, Pa received its 1164549887 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date was the information pertaining to Genecov Plastic Surgery Group, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Genecov Plastic Surgery Group, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-04-16.