# CRANIAL FACIAL HEALTH LLC

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

## Provider details

- **NPI number:** 1184573826
- **Authorized official:** SHANIQUA LEGINGTON (ADMINISTRATOR)
- **Authorized official phone:** (972) 679-4828

## Contact information

- **Practice address:** 601 SUNLAND PARK DR STE 2, EL PASO, TX 79912-5229
- **Practice address phone:** (872) 215-0361
- **Mailing address:** 1340 MANTLEBROOK DR, DESOTO, TX 75115-2966
- **Mailing address phone:** (972) 679-4828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 01/26/2026
- **Last updated:** 06/08/2026