Organization
DENALI FACIAL PLASTIC SURGERY & ENT, LLC
Active
Other names
DENALI FACIAL PLASTIC SURGERY & ENT
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY REID MCILWAIN MD (OWNER)
(907) 987-4988
Entity
Organization
Contact information
Practice address
1108 7TH AVE APT 250, FORT WORTH, TX 76104-4774
(907) 987-4988
Mailing address
1108 7TH AVE APT 250, FORT WORTH, TX 76104-4774
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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