Facial Plastic Surgery Institute, PLLC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

P3234 Issued in TX

Legal business name

FACIAL PLASTIC SURGERY INSTITUTE, PLLC

Practice address

521 W Southlake Blvd Ste 175
Southlake, TX 76092-6175

Phone

(817) 529-3232

NPI assigned

Aug 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Rihani, MDNPI 1679703615

Title

Owner

Phone

(817) 529-3232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Rihani, MD

  • Otolaryngology Physician
  • Southlake, TX
  • NPI 1679703615
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1407222474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W SOUTHLAKE BLVD STE 175",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926175",
            "telephone_number": "817-529-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W SOUTHLAKE BLVD STE 175",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926175",
            "telephone_number": "817-529-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL PLASTIC SURGERY INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "RIHANI",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-529-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "P3234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deborah M Fabel
• Evin Leann Fahey, M.S.CCC-SLP
• Juan Jose Falcon
• Angela Rose Fallis
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• Taylor Fancher, APRN, PMHNP

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.