# FACIAL PLASTIC SURGERY ASSOCIATES

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

## Provider details

- **NPI number:** 1770841991
- **Authorized official:** DR. RUSSELL KRIDEL M.D. (OWNER)
- **Authorized official phone:** (713) 798-7217

## Contact information

- **Practice address:** 6655 TRAVIS ST, SUITE \#900, HOUSTON, TX 77030-1312
- **Practice address phone:** (713) 526-5665
- **Mailing address:** 6655 TRAVIS ST, SUITE \#900, HOUSTON, TX 77030-1312
- **Mailing address phone:** (713) 798-7217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | BP-10025787 | TX | Yes |

## Other

- **Enumeration date:** 04/25/2012
- **Last updated:** 04/25/2012