Northeast Texas Plastic Surgery, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

M8737 Issued in TX

Legal business name

NORTHEAST TEXAS PLASTIC SURGERY, PA

Practice address

301 W 18TH St
Ste 101
Mt Pleasant, TX 75455

Phone

(903) 572-9050

Fax

(903) 572-9051

NPI assigned

Apr 25, 2008

Last updated

Oct 17, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

DAVID A JANSEN MDAs reported in NPPES

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

Authorized official

Name

David A. Jansen, MDNPI 1316042856

Title

Owner Provider

Phone

(903) 572-9050

Specialties & licenses 1

Addresses

Part of

NE TX Plastic Surgery

Locations

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.

• David A Jansen, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Metairie, LA
  • NPI 1316042856

  Plastic Surgery

  NPD Authorized official

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1942475322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 18TH ST",
            "address_2": "STE 101",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "75455",
            "telephone_number": "903-572-9050",
            "fax_number": "903-572-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 18TH ST",
            "address_2": "STE 101",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "75455",
            "telephone_number": "903-572-9050",
            "fax_number": "903-572-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TEXAS PLASTIC SURGERY, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID A  JANSEN MD",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "903-572-9050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M8737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Texas Community College Dental Hygiene Clinic
• Northeast Texas Midwifery PLLC (Fair Flowers Birth Services)
• Northeast Texas Midwifery PLLC
• Northeast Texas Oncologic and Reconstructive Surgery PA
• Northeast Texas Pediatrics, PLLC
• Northeast Texas Radiology Consultants
• Northeast Texas Surgical Specialists PLLC
• Northeast Texas Womens Health P a
• Megan Nye, D.C.
• George O'Neal, DDS

• Plastic Surgery Physician in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.