A surgeon who specializes in plastic and reconstructive surgery.
taxonomy 2086S0122X
Plastic Surgery
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
taxonomy 208200000X
Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
TX license #M0927taxonomy 174400000X
Identifiers
Type
Value
Notes
01 (TX)
00339Z
MEDICARE GROUP PTAN
01 (TX)
311106401
MEDICAID GROUP TPI
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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