Organization
NORTH TEXAS BREAST & PLASTIC SURGERY CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE HERMANN MD (OWNER)
(940) 387-4900
Entity
Organization
Contact information
Practice address
2435 W OAK ST STE 103, DENTON, TX 76201-4313
(940) 387-4900
(940) 387-4966
Mailing address
2435 W OAK ST STE 103, DENTON, TX 76201-4313
(940) 387-4900
(940) 387-4966
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005TN
BLUE CROSS BLUE SHIELD OF TEXAS
TX
05
—
2138786-01
—
TX
Enumeration date
04/19/2010
Last updated
06/18/2025
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