Organization
TEXAS CENTER FOR BREAST RECONSTRUCTION
Active
Other names
FREDERICK J. DUFFY, JR., M.D., P.A., Frederick J. Duffy Jr MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
BRICE W MCKANE (OWNER)
(469) 501-1466
Entity
Organization
Contact information
Practice address
12201 MERIT DR., SUITE 440, DALLAS, TX 75251-2122
(469) 501-1466
(469) 501-1465
Mailing address
12201 MERIT DR STE 440, DALLAS, TX 75251-3106
(469) 501-1466
(469) 501-1465
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
K2452
TX
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
K2452
TX
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
M1233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120616104
—
TX
Enumeration date
05/24/2005
Last updated
06/08/2026
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