TEXAS CENTER FOR BREAST RECONSTRUCTION (NPI# 1992708721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992708721 |
| Entity Type | Organization |
| Organization Name | TEXAS CENTER FOR BREAST RECONSTRUCTION |
| Other Organization Name | FREDERICK J. DUFFY, JR., M.D., P.A. |
| Practice Address |
7777 Forest Ln Ste C504 Dallas TX 75230 |
| Mailing Address |
7777 Forest Ln Ste C504 Dallas TX 75230-6844 |
| Practice Telephone | 9725663939 |
| Practice Fax Number | 9725663999 |
| Mailing Telephone | 9725663939 |
| Mailing Fax Number | 9725663999 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | BRICE W MCKANE (PRESIDENT) |
| Authorized Official Telephone | 9725663939 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
K2452 | TX | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
M1233 | TX | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | K2452 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 120616104 | 05 |
| Other Name | Type Code |
|---|---|
| FREDERICK J. DUFFY, JR., M.D., P.A. | Former Legal Business Name - Organization |
| Texas Plastic Surgery Associates | Doing Business As Name - Organization |
| Street Address |
7777 FOREST LN STE C504 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546101 | Frederick J Duffy Jr. | Plastic Surgery | 7777 Forest Ln, Ste C504, Dallas, TX 75230 | 2005-05-24 |
| 1710586870 | Dessy Santika Adont | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-10-20 |
| 1003433913 | Kasey Rehme | Speech-Language Pathologist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-26 |
| 1083230015 | Abigail Anne Plec | Physician Assistant | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-25 |
| 1225650500 | Minh Nguyen | Pharmacist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-10 |
| 1578184297 | Hk Anesthesia Services Pllc | Anesthesiology | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-05 |
| 1225657018 | Kristina Marie George | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-04-11 |
| 1376176024 | Carla Patricia Jimenez Santillan | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-02-20 |
| 1508496795 | Kafayat Oritola | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-16 |
| 1699315630 | Rachel Kimberly Harris | Occupational Therapist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184871 | Dallas Premier Plastic Surgery, P.l.l.c. | Plastic Surgery | 8144 Walnut Hill Ln Ste 901, Dallas, TX 75231-4386 | 2019-09-25 |
| 1467989822 | Dauwe Plastic Surgery, Pllc | Plastic Surgery | 2801 Lemmon Ave Ste 310, Dallas, TX 75204-0355 | 2017-05-17 |
| 1376921734 | Trinity Plastic Surgery Pllc | Plastic Surgery | 221 W Colorado Blvd Ste 441, Dallas, TX 75208-2312 | 2015-05-18 |
| 1194018796 | Huay-zong Law | Plastic Surgery | 9101 N Central Expy Ste 595, Dallas, TX 75231-6080 | 2011-05-16 |
| 1295027548 | Steven John White | Plastic Surgery | 8230 Walnut Hill Ln Ste 814, Dallas, TX 75231-4485 | 2011-05-04 |
| 1962714931 | Zachary Farris | Plastic Surgery | 8345 Walnut Hill Lane, Suite 120, Dallas, TX 75231 | 2010-07-07 |
| 1053548149 | Neil A Mauskar | Plastic Surgery | 3409 Worth St Ste 600, Dallas, TX 75246-2042 | 2009-06-16 |
| 1679713085 | I. Richard Toranto | Plastic Surgery | 7 Ryddington Pl, Dallas, TX 75230-1972 | 2009-02-24 |
| 1114195104 | David E Martin Md, Pa | Plastic Surgery | 7777 Forest Ln Ste C625, Dallas, TX 75230-7520 | 2008-02-13 |
| 1194912469 | Jeffrey D Cone Jr. | Plastic Surgery | 4210 Normandy Ave, Dallas, TX 75205-2040 | 2007-10-01 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.