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Organization

PLASTIC SURGERY PHYSICIAN ASSISTANTS OF TEXAS

Active
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Organization

PLASTIC SURGERY PHYSICIAN ASSISTANTS OF TEXAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FADI CONSTANTINE MD (SHAREHOLDER)
(214) 739-5760
Entity
Organization

Contact information

Practice address
8220 WALNUT HILL LN STE 206, DALLAS, TX 75231-4406
(214) 739-5760
Mailing address
PO BOX 671192, DALLAS, TX 75367-1192
(214) 739-5760

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
06/03/2026
Last updated
06/18/2026
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