Organization
ORAL AND FACIAL COSMETIC SURGERY PA
Active
Organization
ORAL AND FACIAL COSMETIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER P BYRNE DDS, MD (OWNER)
(713) 266-1999
Entity
Organization
Contact information
Practice address
2450 FONDREN RD STE 130, HOUSTON, TX 77063-2398
(713) 266-1999
(713) 266-4408
Mailing address
2450 FONDREN RD STE 130, HOUSTON, TX 77063-2398
(713) 266-1999
(713) 266-4408
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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