Texoma Plastic Surgery, P.a.

NPI #1578882809 in Wichita Falls, Texas

Provider Information

NPI Number: 1578882809
Entity Type: Organization
Organization Name: Texoma Plastic Surgery, P.a.
Primary Specialty: Plastic Surgery
Enumeration Date: May 26, 2010
Last Updated: Mar 5, 2014

Practice Location

Address: 2200 KELL BLVD
City: Wichita Falls
State: Texas
ZIP Code: 76309-4401
Phone: (940) 264-2600

Authorized Official

Name: DR. PHILLIP J STEPHAN, MD
Title: PRINCIPLE
Phone: (214) 415-6320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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