Organization
DALLAS PLASTIC AND RECONSTRUCTIVE SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN BEALE MD (DIRECTOR)
(972) 566-3001
Entity
Organization
Contact information
Practice address
7777 FOREST LN, SUITE B116, DALLAS, TX 75230-2571
(972) 566-3001
Mailing address
7777 FOREST LN, SUITE B116, DALLAS, TX 75230-2571
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
P2995
TX
363AS0400X
Surgical Physician Assistant
08618
TX
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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