Organization Active NPI

Designer Plastic Surgery & Med Spa

  • Plastic and Reconstructive Surgery Physician
  • Richmond, TX
National Provider Identifier
1952147332
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
DESIGNER PLASTIC SURGERY & MED SPA
Practice address
24200 Via Mazzini Way Ste 140
Richmond, TX 77406-3439
Phone
(832) 930-2678
Fax
(888) 355-7598
NPI assigned
Jul 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Jack Hua, MDNPI 1649657214
Title
Surgeon
Phone
(832) 930-2678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

24200 Via Mazzini Way Ste 140
Richmond, TX 77406-3439

Mailing address

24200 Via Mazzini Way Ste 140
Richmond, TX 77406-3439
Phone (832) 930-2678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241216002844 TX Part B Supplier - Clinic/Group Practice 8224564109 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2326423Designer Plastic Surgery and Med Spa24200 Via Mazzini Way Suite 140, Richmond, TX 77406Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1952147332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 VIA MAZZINI WAY STE 140",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774063439",
            "telephone_number": "832-930-2678",
            "fax_number": "713-565-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 VIA MAZZINI WAY STE 140",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774063439",
            "telephone_number": "832-930-2678",
            "fax_number": "888-355-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER PLASTIC SURGERY & MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "HUA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "832-930-2678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.