Provider Demographics
NPI:1114145505
Name:HOUSTON CENTER FOR PLASTIC SURGERY PA
Entity Type:Organization
Organization Name:HOUSTON CENTER FOR PLASTIC SURGERY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-790-4500
Mailing Address - Street 1:6560 FANNIN ST STE 1812
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2775
Mailing Address - Country:US
Mailing Address - Phone:713-790-4500
Mailing Address - Fax:
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1812
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2775
Practice Address - Country:US
Practice Address - Phone:713-790-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7579261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB146698OtherMEDICARE GROUP PTAN
TXB25808Medicare UPIN