Organization
SULE FACIAL PLASTIC SURGERY CLINIC,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEP SULE M.D. (PRESIDENT)
(972) 960-2950
Entity
Organization
Contact information
Practice address
12221 MERIT DR, SUITE 1060, DALLAS, TX 75251-2202
(972) 960-2950
(972) 960-2838
Mailing address
12221 MERIT DR, SUITE 1060, DALLAS, TX 75251-2202
(972) 960-2950
(972) 960-2838
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
M4570
TX
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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