Organization Active NPI

Ladies Plastic Surgery Center PA

  • Specialist
  • Dallas, TX
National Provider Identifier
1609976653
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F5194 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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.NPI 1023078870
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.