Texas Maxillofacial Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

TEXAS MAXILLOFACIAL SURGERY, PLLC

Practice address

1850 Keller Pkwy
Suite #102
Keller, TX 76248-3706

Phone

(817) 431-9566

Fax

(817) 337-8687

NPI assigned

Jul 3, 2014

Last updated

Jul 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mazen Duraini, DDS, MDNPI 1457532848

Title

Oral and Maxillofacial Surgeon

Phone

(817) 431-9566

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mazen Duraini, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Keller, TX
  • NPI 1457532848
  NPD (past) Authorized official

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1437565934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 KELLER PKWY",
            "address_2": "SUITE #102",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483706",
            "telephone_number": "817-431-9566",
            "fax_number": "817-337-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 KELLER PKWY",
            "address_2": "SUITE #102",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483706",
            "telephone_number": "817-431-9566",
            "fax_number": "817-337-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "DURAINI",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "817-431-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery Clinic/Center in Keller, TX
• Providers in Keller, TX by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.