Active NPI
Clinic for Plastic Surgery PA
- Plastic and Reconstructive Surgery Physician
- Houston, TX
National Provider Identifier
1902467483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- CLINIC FOR PLASTIC SURGERY PA
- Practice address
- 14018 Aesthetic Cir
Houston, TX 77062-2373 - Phone
- (281) 990-8487
- NPI assigned
- Jun 25, 2019
- 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
- Samir M Sukkar, MD
- Title
- President
- Phone
- (281) 990-8487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
14018 Aesthetic Cir
Houston, TX 77062-2373
Mailing address
1616 Clear Lake City Blvd Ste 102
Houston, TX 77062-8069
Other names 1
- The Clinic for Plastic Surgery
National Provider Directory
National Provider DirectoryLocations
1616 Clear Lake City Blvd
Ste 102
Houston, TX 77062
Phone (281) 990-8487
1616 Clear Lake City Blvd
Houston, TX 77062
Phone (281) 990-8487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628640000000",
"number": "1902467483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CLEAR LAKE CITY BLVD STE 102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770628069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14018 AESTHETIC CIR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770622373",
"telephone_number": "281-990-8487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINIC FOR PLASTIC SURGERY PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-25",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A",
"authorized_official_last_name": "SUKKAR",
"authorized_official_first_name": "SAMIR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-990-8487",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Clinic for Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.