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Contact Information

GENECOV PLASTIC SURGERY GROUP, PA
7777 FOREST LN STE C528
DALLAS, TX75230-6848
 Phone: 972-331-1900
 Fax: 972-331-1909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for GENECOV PLASTIC SURGERY GROUP PA · (Female)

NPI # 1164549887
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2007
Last updated 04/16/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 19138
  • TX License # NA
  • TX Medicaid 112848004
  • Other TXB102342 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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