Organization
PLASTIC SURGERY OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN TITTLE MD (OWNER)
(214) 905-5075
Entity
Organization
Contact information
Practice address
10743 PRESTON RD, DALLAS, TX 75230-3806
(214) 905-5075
(214) 905-0903
Mailing address
10743 PRESTON RD, DALLAS, TX 75230-3806
(214) 905-5075
(214) 905-0903
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
F7235
TX
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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