Organization
JAMES R. MOTLAGH, M.D., P.A.
Active
Other names
Tyler Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R. MOTLAGH M.D. (PRESIDENT)
(903) 526-2500
Entity
Organization
Contact information
Practice address
700 OLYMPIC PLAZA CIRCLE, STE 420, TYLER, TX 75701
(903) 526-2500
(903) 526-2535
Mailing address
700 OLYMPIC PLAZA CIRCLE, STE 420, TYLER, TX 75701
(903) 526-2500
(903) 526-2535
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L4071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A1039
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/21/2006
Last updated
08/09/2011
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