Organization
CANDIS LOVELACE MD PA
Active
Other names
New Leaft Plastic & Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CANDIS LOVELACE MD (PRESIDENT)
(817) 380-1087
Entity
Organization
Contact information
Practice address
108 AURORA VISTA TRL, AURORA, TX 76078-4511
(817) 380-1087
Mailing address
108 AURORA VISTA TRL, AURORA, TX 76078-4511
(817) 380-1087
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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