Organization · Type 2 NPI
Paragon Plastic Surgery & Med Spa Llc.
Ambulatory Surgical Clinic/Center · Mansfield, TX
NPI number
1578979902
Active
Practice location
1101 Matlock Rd
Mansfield, TX 76063-3442
Fax (817) 887-5233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | N2005 (TX) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1578979902
Paragon Plastic Surgery & Med Spa Llc.'s National Provider Identifier is 1578979902, issued on Jul 7, 2014. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mansfield, TX. The record was last updated on Jul 7, 2014.