Organization · NPI-2

James R. Motlagh, M.D., P.A.

Plastic Surgery · Tyler, TX

NPI number1598830341
StatusActive
Last updated in NPPESAug 9, 2011

Details

NPI
1598830341
Entity type
Organization (NPI-2)
Legal business name
James R. Motlagh, M.D., P.A.
Organization subpart
No
Enumeration date
Nov 21, 2006
Last updated
Aug 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryL4071TXYes

Other names

  • Tyler Plastic Surgery (Doing Business As)

Practice location

700 Olympic Plaza Circle
Ste 420
Tyler, TX 75701

Phone 903-526-2500 · Fax 903-526-2535

Mailing address

700 Olympic Plaza Circle
Ste 420
Tyler, TX 75701

Phone 903-526-2500 · Fax 903-526-2535

Authorized official

James R. Motlagh
President
9035262500

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