Organization Active NPI

Texas Facial Plastic Surgery and Rhinology

  • Facial Plastic Surgery Physician
  • Conroe, TX
National Provider Identifier
1366769937
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
TEXAS FACIAL PLASTIC SURGERY AND RHINOLOGY
Practice address
503 Medical Center Blvd Ste 120
Conroe, TX 77304-2936
Phone
(936) 441-1064
NPI assigned
Apr 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Benjamin W Cilento, MD
Title
President
Phone
(832) 474-2355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X Primary

Addresses

Primary practice location

503 Medical Center Blvd Ste 120
Conroe, TX 77304-2936

Mailing address

503 Medical Center Blvd Ste 120
Conroe, TX 77304-2936
Phone (936) 441-1064

Other names 1

  • Texas Facial Plastics Doing business as

National Provider Directory

National Provider Directory

Locations

503 Medical Center Blvd
Ste 120
Conroe, TX 77304
Phone (936) 441-1064

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1366769937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MEDICAL CENTER BLVD STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042936",
            "telephone_number": "936-441-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MEDICAL CENTER BLVD STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042936",
            "telephone_number": "936-441-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FACIAL PLASTIC SURGERY AND RHINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "CILENTO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-474-2355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Facial Plastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.