Breast Reconstruction Centers of Houston

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

M8534 Issued in TX

Legal business name

BREAST RECONSTRUCTION CENTERS OF HOUSTON

Practice address

920 Frostwood Dr Ste 690
Houston, TX 77024-2468

Phone

(832) 742-8187

Fax

(855) 926-3963

NPI assigned

Sep 26, 2016

Organization subpart

No

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

Authorized official

Name

Rafi Bidros, MD

Title

President

Phone

(832) 742-8187

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1861941338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FROSTWOOD DR STE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242468",
            "telephone_number": "832-742-8187",
            "fax_number": "855-926-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FROSTWOOD DR STE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242468",
            "telephone_number": "832-742-8187",
            "fax_number": "855-926-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST RECONSTRUCTION CENTERS OF HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "BIDROS",
        "authorized_official_first_name": "RAFI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-742-8187",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M8534",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M8534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.