institution
East Texas Plastic Surgery Llp
Plastic and Reconstructive Surgery Physician in Longview, Texas
NPI 1215152251

East Texas Plastic Surgery Llp is a Plastic and Reconstructive Surgery Physician based in Longview, TX and is specialized in Plastic and Reconstructive Surgery. East Texas Plastic Surgery Llp practices in Longview, TX. The NPI Number for East Texas Plastic Surgery Llp is 1215152251 and holds a License No. E4427 (Texas).

The current practice location address for East Texas Plastic Surgery Llp is 703 E Marshall Ave Ste 4008, Longview, TX and can be reached out via phone at 903-753-2276 and via fax at 903-753-7420.

Location: 703 E Marshall Ave Ste 4008, Longview, TX, 75601-5622
institution
Provider Profile Details
NPI Number
1215152251
Provider Name
East Texas Plastic Surgery Llp
Credential
Provider Entity Type
Organization
Address
703 E Marshall Ave Ste 4008, Longview, TX, 75601-5622
Phone Number
903-753-2276
Fax Number
903-753-7420
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110309502 05 TX
institution
Provider Business Practice Location Address Details
Address
703 E Marshall Ave Ste 4008
City
State
Zip
75601-5622
Phone Number
903-753-2276
Fax Number
903-753-7420
person
Provider Business Mailing Address Details
Address
703 E Marshall Ave Ste 4008
City
State
Zip
75601-5622
Phone Number
903-753-2276
Fax Number
903-753-7420
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
E4427 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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