NPIMap

Organization Active NPI

Tylock-George Cosmetic PA

  • Ambulatory Surgical Clinic/Center
  • Irving, TX
National Provider Identifier
1689498982
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TYLOCK-GEORGE COSMETIC PA
Practice address
3100 N Macarthur Blvd
Irving, TX 75062-4451
Phone
(972) 258-6400
NPI assigned
Nov 13, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Taj Nasser
Title
Medical Director
Phone
(972) 258-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X

Addresses

Primary practice location

3100 N Macarthur Blvd
Irving, TX 75062-4451

Mailing address

3100 N Macarthur Blvd
Irving, TX 75062-4451
Phone (972) 258-6400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1689498982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624451",
            "telephone_number": "972-258-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624451",
            "telephone_number": "972-258-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLOCK-GEORGE COSMETIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "TAJ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-258-6400"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.