Organization
GENECOV PLASTIC SURGERY GROUP
Active
Other names
Genecov Plastic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID G GENECOV M.D. (MEDICAL DIRECTOR)
(972) 566-6555
Entity
Organization
Contact information
Practice address
7777 FOREST LN, SUITE C720, DALLAS, TX 75230-2505
(972) 566-6555
(972) 566-6017
Mailing address
7777 FOREST LN, SUITE C717, DALLAS, TX 75230-2505
(972) 566-6555
(972) 566-6017
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH1564
BCBS OF TEXAS
TX
Enumeration date
10/11/2006
Last updated
08/22/2020
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