Organization Active NPI

Clinic for Plastic Surgery PA

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1902467483
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
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

Updated by the provider on Aug 11, 2021

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.