Organization · Type 2 NPI
Orange Clinical Associates PA
Facial Plastic Surgery Physician · Orange, TX
NPI number
1205044567
Active
Practice location
610 Strickland Dr Ste 290
Orange, TX 77630-4790
Fax (409) 883-2003
Mailing address
610 Strickland Dr Ste 270
Orange, TX 77630-4786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | J7929 (TX) |
| Otolaryngology Physician | 207Y00000X | J0832 (TX) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | J0832 (TX) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1205044567
Orange Clinical Associates PA's National Provider Identifier is 1205044567, issued on May 19, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Orange, TX. The record was last updated on May 16, 2008.