Active NPI
Texas Facial Plastic Surgery and Rhinology
- Facial Plastic Surgery Physician
- Conroe, TX
National Provider Identifier
1366769937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.