Organization
NORTHEAST TEXAS PLASTIC SURGERY, PA
Active
Parent organization
DAVID A JANSEN MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID A JANSEN MD
Authorized official
DAVID A. JANSEN MD (OWNER PROVIDER)
(903) 572-9050
Entity
Organization
Contact information
Practice address
301 W 18TH ST, STE 101, MT PLEASANT, TX 75455
(903) 572-9050
(903) 572-9051
Mailing address
301 W 18TH ST, STE 101, MT PLEASANT, TX 75455
(903) 572-9050
(903) 572-9051
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M8737
TX
Other
Enumeration date
04/25/2008
Last updated
10/17/2008
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