Candis M Lovelace in Fort Worth - Plastic And Reconstructive Surgery
Candis M Lovelace - NPI 1811037245
Candis M Lovelace is a Plastic And Reconstructive Surgery in Fort Worth, Texas. Candis M Lovelace practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Candis M Lovelace is 1811037245. The last update date is 2012-08-14.
Candis M Lovelace's current location address is 4400 Heritage Trace Parkway, Fort Worth, Texas. You can contact this provider via phone number 8173801087 and fax number 8173801088. The mailing address for Candis M Lovelace is 4400 Heritage Trace Parkway, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candis M Lovelace |
|---|---|
| Address | 4400 Heritage Trace Parkway, Fort Worth, Texas |
| Phone Number | 8173801087 |
| Fax Number | 8173801088 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811037245 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2012-08-14 |
Provider Mailing Address Detail
| Address | 4400 Heritage Trace Parkway |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 76244 |
| Phone Number | 8173801087 |
| Fax Number | 8173801088 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | N3845 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208491501 | TX | -- | |
| 8CC632 | TX | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Candis M Lovelace?
The Candis M Lovelace has been issued the NPI (National Provider Identifier) 1811037245 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Candis M Lovelace's facilities are situated?
The facilities of Candis M Lovelace are physically located at the following address: 4400 Heritage Trace Parkway, Fort Worth, TX, 76244.
What is Candis M Lovelace's area of expertise and its corresponding taxonomy classification?
The Candis M Lovelace's field of specialization is Plastic And Reconstructive Surgery, and it falls under the taxonomy code 2086S0122X, which categorizes healthcare providers based on their areas of practice.
On what date did Candis M Lovelace receive its 1811037245 assignment from the Centers for Medicare & Medicaid Services?
The Candis M Lovelace was assigned its 1811037245 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Candis M Lovelace most recently updated or revised?
The information pertaining to Candis M Lovelace, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-14.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL