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TEXAS CENTER FOR BREAST RECONSTRUCTION

Surgery Yellow Pages

Dallas, Texas

Provider NPI: 1992708721

Organization Information:
Organization Name:  TEXAS CENTER FOR BREAST RECONSTRUCTION


Practice Location:
7777 FOREST LN STE C504 DALLAS, TX 75230 US
Tel: 972-566-3939  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2082S0099XPhysicians
Plastic Surgery
Plastic Surgery Within the Head and Neck
TXK2452
N2082S0099XPhysicians
Plastic Surgery
TXM1233
Y208200000XPhysicians
Plastic Surgery
TXK2452

Other Provider Identifiers:

IssuerNumberStateType
120616104TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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