OrganizationActive
Genecov Plastic Surgery Group, PA
NPI 1164549887 · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Dallas, TX
Provider details
- NPI number
- 1164549887
- Entity type
- Organization
- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Juli Smiddy, Practice Administrator
- License
- 19138 (TX)
Practice location
7777 Forest Ln Ste C528
Dallas, TX 75230-6848
Phone: (972) 331-1900
Fax: (972) 331-1909
Mailing address
7777 Forest Ln Ste C528
Dallas, TX 75230-6848
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2021-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.