Organization Active NPI

Plastic Surgery and Breast Reconstruction Association of North Texas

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1386006237
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
PLASTIC SURGERY AND BREAST RECONSTRUCTION ASSOCIATION OF NORTH TEXAS
Practice address
10830 N Central Expy
Suite 120
Dallas, TX 75231-1050
Phone
(214) 378-9898
Fax
(214) 378-9888
NPI assigned
Mar 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Angela Jones
Title
Director
Phone
(214) 378-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

10830 N Central Expy
Suite 120
Dallas, TX 75231-1050

Mailing address

PO Box 670039
Dallas, TX 75367-0039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1386006237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670039",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753670039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 N CENTRAL EXPY",
            "address_2": "SUITE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752311050",
            "telephone_number": "214-378-9898",
            "fax_number": "214-378-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY AND BREAST RECONSTRUCTION ASSOCIATION OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-378-9898"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "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 Mar 21, 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.