Organization
DVA PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARE AJIBADE MD (OWNER)
(352) 620-5211
Entity
Organization
Contact information
Practice address
1110 W GRAY ST STE 210, HOUSTON, TX 77019-4157
(713) 581-1858
Mailing address
1110 W GRAY ST STE 210, HOUSTON, TX 77019-4157
(713) 581-1858
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/09/2024
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