Breast Recon Specialists, Pllc
NPI #1104348614 in Colleyville, Texas
Provider Information
- NPI Number
- 1104348614
- Entity Type
- Organization
- Organization Name
- Breast Recon Specialists, Pllc
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Jul 17, 2017
- Last Updated
- Aug 5, 2020
Practice Location
- Address
- 7167 COLLEYVILLE BLVD STE 102
- City
- Colleyville
- State
- Texas
- ZIP Code
- 76034-8002
- Phone
- (817) 484-0169
Authorized Official
- Name
- DR. JON VER HALEN
- Title
- MD
- Phone
- (817) 416-8080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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