Provider Demographics
NPI:1811791882
Name:GBC DALLAS PLLC
Entity type:Organization
Organization Name:GBC DALLAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ASHTAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDREICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-981-2050
Mailing Address - Street 1:7325 MEDICAL CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1938
Mailing Address - Country:US
Mailing Address - Phone:818-981-2050
Mailing Address - Fax:
Practice Address - Street 1:1441 N BECKLEY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1201
Practice Address - Country:US
Practice Address - Phone:818-981-2050
Practice Address - Fax:818-981-2382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty