Northeast Texas Plastic Surgery, PA

NPI #1942475322 in Mt Pleasant, Texas

Provider Information

NPI Number: 1942475322
Entity Type: Organization
Organization Name: Northeast Texas Plastic Surgery, PA
Subpart: Yes (part of a larger organization)
Parent Organization: DAVID A JANSEN MD
Primary Specialty: Plastic Surgery
Enumeration Date: Apr 25, 2008
Last Updated: Oct 17, 2008

Practice Location

Address: 301 W 18TH ST
Address 2: STE 101
City: Mt Pleasant
State: Texas
ZIP Code: 75455
Phone: (903) 572-9050

Authorized Official

Name: DAVID A. JANSEN, MD
Title: OWNER PROVIDER
Phone: (903) 572-9050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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