# INTEGRATED PLASTIC SURGERY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073839809
- **Authorized official:** DR. YOUNGHOON R CHO MD (PRESIDENT, SECRETARY AND TREASURER)
- **Authorized official phone:** (414) 581-0620

## Contact information

- **Practice address:** 17115 RED OAK DRIVE, SUITE 210, HOUSTON, TX 77090-2607
- **Practice address phone:** (281) 404-5454
- **Practice address fax:** (281) 404-9336
- **Mailing address:** 17115 RED OAK DRIVE, SUITE 210, HOUSTON, TX 77090-2607
- **Mailing address phone:** (281) 404-5454
- **Mailing address fax:** (281) 404-9336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | N3563 | TX | Yes |

## Other

- **Enumeration date:** 04/19/2010
- **Last updated:** 07/07/2010
