Candis Lovelace MD PA

NPI #1316212129 in Aurora, Texas

Provider Information

NPI Number: 1316212129
Entity Type: Organization
Organization Name: Candis Lovelace MD PA
Primary Specialty: Plastic Surgery
Enumeration Date: Mar 12, 2012
Last Updated: Mar 12, 2012

Practice Location

Address: 108 AURORA VISTA TRL
City: Aurora
State: Texas
ZIP Code: 76078-4511
Phone: (817) 380-1087

Authorized Official

Name: CANDIS LOVELACE, MD
Title: PRESIDENT
Phone: (817) 380-1087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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