Organization
GENECOV PLASTIC SURGERY GROUP
Active
Other names
Craniofacial Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G GENECOV M.D. (PHYSICIAN)
(972) 566-6555
Entity
Organization
Contact information
Practice address
7777 FOREST LN, SUITE B312, 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
261QR0200X
Radiology Clinic/Center
Primary
NA
TX
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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