Genecov Plastic Surgery Group

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

NA Issued in TX

Legal business name

GENECOV PLASTIC SURGERY GROUP

Doing business as

Craniofacial Imaging

Practice address

7777 Forest LN
Suite B312
Dallas, TX 75230-2505

Phone

(972) 566-6555

Fax

(972) 566-6017

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

David G Genecov, M.D.

Title

Physician

Phone

(972) 566-6555

Specialties & licenses 1

Addresses

Other names 1

• Craniofacial Imaging Doing business as

Tax ID family

Craniofacial Imaging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Genecov Plastic Surgery Group

  dba Genecov Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1306934724
  NPD tax ID
• Genecov Plastic Surgery Group

  • Plastic Surgery Physician
  • Dallas, TX
  • NPI 1639296353
  NPD tax ID

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417021247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE C717",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-6555",
            "fax_number": "972-566-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-6555",
            "fax_number": "972-566-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENECOV PLASTIC SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENECOV",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-566-6555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craniofacial Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gendx LLC
• Gene W Voskuhl, MD, PA
• Asha Gene, MSN APRN AGACNP-BC
• Genecov Physician Group
• Genecov Plastic Surgery Group (Genecov Plastic Surgery Center)
• Genecov Plastic Surgery Group
• Genecov Plastic Surgery Group, PA
• Lisa W Genecov, MD
• General & Oncology Surgery Assoc LLP
• General and Oncology Surgical Associates PA

• Radiology Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.