Organization
INSTITUTE FOR ADVANCED RECONSTRUCTION (TX), PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA CRUZ (CREDENTIALING MANAGER)
(732) 333-8720
Entity
Organization
Contact information
Practice address
1600 COIT RD STE 210, PLANO, TX 75075-6172
(732) 333-8720
Mailing address
200 SCHULZ DR STE 2, RED BANK, NJ 07701-6745
(732) 333-8720
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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