Organization · Type 2 NPI
East Texas Plastic Surgery LLP
Plastic and Reconstructive Surgery Physician · Longview, TX
NPI number
1215152251
Active
Practice location
703 E Marshall Ave Ste 4008
Longview, TX 75601-5622
Fax (903) 753-7420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | E4427 (TX) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1215152251
East Texas Plastic Surgery LLP's National Provider Identifier is 1215152251, issued on Apr 16, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Longview, TX. The record was last updated on Jul 18, 2016.