Organization Active NPI

Park Cities Cosmetic Surgery

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1053765230
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
M7367 Issued in TX
Legal business name
PARK CITIES COSMETIC SURGERY
Practice address
4311 Oak Lawn Ave
Suite 365
Dallas, TX 75219-2315
Phone
(469) 730-2831
NPI assigned
Apr 14, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Robert Lee, M.D.NPI 1265635866
Title
Owner/Ceo
Phone
(469) 730-2831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X M7367 TX Primary

Addresses

Primary practice location

4311 Oak Lawn Ave
Suite 365
Dallas, TX 75219-2315

Mailing address

4311 Oak Lawn Ave
Suite 365
Dallas, TX 75219-2315
Phone (469) 730-2831

National Provider Directory

National Provider Directory

Locations

4311 Oak Lawn Ave
Ste 365
Dallas, TX 75219
Phone (469) 730-2831

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1053765230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 OAK LAWN AVE",
            "address_2": "SUITE 365",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192315",
            "telephone_number": "469-730-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 OAK LAWN AVE",
            "address_2": "SUITE 365",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192315",
            "telephone_number": "469-730-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITIES COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "469-730-2831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M7367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.