Organization
REGIONAL PLASTIC SURGERY CENTER PA
Active
Parent organization
REGIONAL PLASTIC SURGERY CENTER PA
Other names
Regional Plastic Surgery Center - Sherman
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGIONAL PLASTIC SURGERY CENTER PA
Authorized official
DENTON WATUMULL MD (OWNER)
(903) 893-6311
Entity
Organization
Contact information
Practice address
1111 SARA SWAMY DR, SHERMAN, TX 75090-1779
(903) 893-6311
Mailing address
1111 SARA SWAMY DR, SHERMAN, TX 75090-1779
(903) 893-6311
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
08/24/2021
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