# BROBST FACIAL PLASTICS, PLLC

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

## Provider details

- **NPI number:** 1114286135
- **Authorized official:** DR. ROBERT WILLIAM BROBST JR. M.D. (MANAGING MEMBER)
- **Authorized official phone:** (312) 523-8693

## Contact information

- **Practice address:** 4800 HEDGCOXE RD \# 250, PLANO, TX 75024-2403
- **Practice address phone:** (312) 523-8693
- **Mailing address:** 4800 HEDGCOXE RD \# 250, PLANO, TX 75024-2403
- **Mailing address phone:** (312) 523-8693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | P2101 | TX | Yes |

## Other

- **Enumeration date:** 05/11/2012
- **Last updated:** 07/30/2012