Genecov Plastic Surgery Group, Pa

LBN: Genecov Plastic Surgery Group, Pa
Genecov Plastic Surgery Group, Pa is an health care organization with primary practice located at 7777 Forest Ln Ste C528 , Dallas TX 75230-6848. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck is the primary health care specialty. Genecov Plastic Surgery Group, Pa can be contacted via phone (972) 331-1900, or through Smiddy, Juli via phone (972) 331-1900.

Contact Information

Primary practice address
7777 Forest Ln Ste C528 Dallas TX 75230-6848
Fax: (972) 331-1909
Website:
Authorized official contact:
Name: Smiddy, Juli

Profile Details

NPI number 1164549887
LBN Legal business name Genecov Plastic Surgery Group, Pa
DBA Doing business as
Authorized official Smiddy, Juli
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Apr 16th, 2021 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164549887 NPPES
Texas MEDICAID 112848004
Texas Other TXB102342

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