Provider Demographics
NPI:1275184871
Name:DALLAS PREMIER PLASTIC SURGERY, P.L.L.C.
Entity Type:Organization
Organization Name:DALLAS PREMIER PLASTIC SURGERY, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BASCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-217-6192
Mailing Address - Street 1:8144 WALNUT HILL LN STE 901
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4386
Mailing Address - Country:US
Mailing Address - Phone:214-217-6192
Mailing Address - Fax:214-217-6199
Practice Address - Street 1:8144 WALNUT HILL LN STE 901
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4386
Practice Address - Country:US
Practice Address - Phone:214-217-6192
Practice Address - Fax:214-217-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty