Keystone Plastic Reconstructive Surgery,Llc
LBN: Keystone Plastic Reconstructive Surgery,Llc
Keystone Plastic Reconstructive Surgery,Llc is an health care organization with primary practice located at 3115 College Park Dr Suite 101, The Woodlands TX 77384-4000. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty.
Keystone Plastic Reconstructive Surgery,Llc can be contacted via phone (936) 321-4345, or through Shannon, Thomas O via phone (936) 321-4345.
Contact Information
Primary practice address
3115 College Park Dr Suite 101
The Woodlands TX 77384-4000
Phone: (936) 321-4345
Fax: (936) 321-4353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X |
Profile Details
| NPI number | 1598977290 |
|---|---|
| LBN Legal business name | Keystone Plastic Reconstructive Surgery,Llc |
| DBA Doing business as | |
| Authorized official | Shannon, Thomas O Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Sep 16th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598977290 | NPPES |
| Texas | MEDICAID | 080725701 |
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