# GENECOV PLASTIC SURGERY GROUP, PA

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

## Provider details

- **NPI number:** 1164549887
- **Authorized official:** MRS. JULI SMIDDY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (972) 331-1900

## Contact information

- **Practice address:** 7777 FOREST LN STE C528, DALLAS, TX 75230-6848
- **Practice address phone:** (972) 331-1900
- **Practice address fax:** (972) 331-1909
- **Mailing address:** 7777 FOREST LN STE C528, DALLAS, TX 75230-6848
- **Mailing address phone:** (972) 331-1900
- **Mailing address fax:** (972) 331-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | NA | TX | Yes |
| 235Z00000X | Speech-Language Pathologist | 19138 | TX | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 04/16/2021