Organization
LADIES PLASTIC SURGERY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA MARIE ELLIOTT M.D. (PRESIDENT)
(972) 241-5083
Entity
Organization
Contact information
Practice address
12801 MIDWAY RD, SUITE 217, DALLAS, TX 75244-6813
(214) 361-5070
(972) 241-5075
Mailing address
12801 MIDWAY RD, SUITE 217, DALLAS, TX 75244-6813
(214) 361-5070
(972) 241-5075
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F5194
TX
Other
Enumeration date
09/22/2006
Last updated
01/16/2008
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