Organization · Type 2 NPI

Lakeview Ent, PA

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Dallas, TX

NPI number 1154743227 Active

Practice location

6301 Gaston Ave
Dallas, TX 75214-3922

Fax (214) 691-8292

Mailing address

PO Box 181022
Dallas, TX 75218-8022

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007XK0325 (TX)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…

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About NPI 1154743227

Lakeview Ent, PA's National Provider Identifier is 1154743227, issued on Jan 9, 2014. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Dallas, TX. The record was last updated on Jan 9, 2014.