Clinic For Plastic Surgery PA
Surgery, Plastic and Reconstructive Surgery in Houston, TX. Organization (NPI-2).
NPI number1902467483
StatusActive
Last updated in NPPESAug 11, 2021
Details
- NPI
- 1902467483
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinic For Plastic Surgery PA
- Organization subpart
- No
- Enumeration date
- Jun 25, 2019
- Certification date
- Aug 11, 2021
- Last updated
- Aug 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | Yes |
Other names
- The Clinic For Plastic Surgery (Doing Business As)
Practice location
14018 Aesthetic CirHouston, TX 77062-2373
Phone 281-990-8487
Mailing address
1616 Clear Lake City Blvd Ste 102Houston, TX 77062-8069
Authorized official
Samir M Sukkar
President
2819908487
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