Organization
PLASTIC SURGERY ASSOCIATES PA
Active
Parent organization
PLASTIC SURGERY ASSOCIATES PA
Other names
Breast Reconstruction Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLASTIC SURGERY ASSOCIATES PA
Authorized official
SYLVIANA CRAWFORD (OFFICE ADMINISTRATOR)
(682) 200-8580
Entity
Organization
Contact information
Practice address
8516 S. PORTLAND STE 201, OKLAHOMA CITY, OK 73159-5006
(405) 246-0391
(405) 246-0392
Mailing address
8601 CANTERA WAY, BENBROOK, TX 76126-1133
(512) 763-4545
(512) 763-4546
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
05/23/2024
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