Organization
FACIAL PLASTIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL KRIDEL M.D. (OWNER)
(713) 798-7217
Entity
Organization
Contact information
Practice address
6655 TRAVIS ST, SUITE #900, HOUSTON, TX 77030-1312
(713) 526-5665
Mailing address
6655 TRAVIS ST, SUITE #900, HOUSTON, TX 77030-1312
(713) 798-7217
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
BP-10025787
TX
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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