National Provider Identifier Database

MIDLAND PLASTIC SURGERY CENTER PA
Plastic and Reconstructive Surgery


Contact Information

MIDLAND PLASTIC SURGERY CENTER PA
701 TRADEWINDS BLVD STE B
MIDLAND, TX79706-3166
Phone: 432-618-6772
Fax: 432-618-6775
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Plastic Surgery 208200000X
Plastic Surgery Within the Head and Neck 2082S0099X
Surgery of the Hand 2082S0105X

* Indicates primary specialty

NPI Profile & details for MIDLAND PLASTIC SURGERY CENTER PA

NPI Number 1023414216
Legal business name
LBN
MIDLAND PLASTIC SURGERY CENTER PA
Authorized official THOMAS COOK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/14/2014
Last updated 07/29/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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