Dermatology And Plastic Surgery Specialists Pllc

LBN: Dermatology And Plastic Surgery Specialists Pllc
Dermatology And Plastic Surgery Specialists Pllc is an health care organization with primary practice located at 245 W State Highway 114 Suite 100 , Southlake TX 76092. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Dermatology And Plastic Surgery Specialists Pllc can be contacted via phone (817) 912-1200, or through Potter, Jason Kyle via phone (214) 930-6588.

Contact Information

Primary practice address
245 W State Highway 114 Suite 100 Southlake TX 76092
Phone: (817) 912-1200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Potter, Jason Kyle Doctor of Medicine (MD)
Phone: (214) 930-6588

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1043096365
LBN Legal business name Dermatology And Plastic Surgery Specialists Pllc
DBA Doing business as
Authorized official Potter, Jason Kyle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 1st, 2023
Last updated Sep 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers