Active NPI
Ladies Plastic Surgery Center PA
- Specialist
- Dallas, TX
National Provider Identifier
1609976653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F5194
- Legal business name
- LADIES PLASTIC SURGERY CENTER PA
- Practice address
- 12801 Midway Rd
Suite 217
Dallas, TX 75244-6813 - Phone
- (214) 361-5070
- Fax
- (972) 241-5075
- NPI assigned
- Sep 22, 2006
- Last updated
- Jan 16, 2008
- 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. Teresa Marie Elliott, M.D.
- Title
- President
- Phone
- (972) 241-5083
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F5194 | TX | Primary |
Addresses
Primary practice location
12801 Midway Rd
Suite 217
Dallas, TX 75244-6813
Mailing address
12801 Midway Rd
Suite 217
Dallas, TX 75244-6813
Phone (214) 361-5070
National Provider Directory
National Provider DirectoryLocations
12801 Midway Rd
Ste 217
Dallas, TX 75244
Phone (214) 361-5070
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200441600000",
"number": "1609976653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12801 MIDWAY RD",
"address_2": "SUITE 217",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446813",
"telephone_number": "214-361-5070",
"fax_number": "972-241-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12801 MIDWAY RD",
"address_2": "SUITE 217",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446813",
"telephone_number": "214-361-5070",
"fax_number": "972-241-5075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LADIES PLASTIC SURGERY CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2008-01-16",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-241-5083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "F5194",
"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 Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.