Oral Cancer Reconstructive Surgeons of Texas Pllc

NPI #1336541820 in Keller, Texas

Provider Information

NPI Number: 1336541820
Entity Type: Organization
Organization Name: Oral Cancer Reconstructive Surgeons of Texas Pllc
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Sep 16, 2014
Last Updated: Sep 16, 2014

Practice Location

Address: 359 KELLER PKWY
City: Keller
State: Texas
ZIP Code: 76248-2206
Phone: (817) 431-6995

Authorized Official

Name: MISTY BROWN, DDS
Title: OWNER
Phone: (817) 431-6995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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