Organization
PARAGON PLASTIC SURGERY & MED SPA LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BISHARA M.D. (OWNER)
(817) 473-2120
Entity
Organization
Contact information
Practice address
1101 MATLOCK RD, MANSFIELD, TX 76063-3442
(817) 473-2120
(817) 887-5233
Mailing address
1101 MATLOCK RD, MANSFIELD, TX 76063-3442
(817) 473-2120
(817) 887-5233
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
N2005
TX
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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