Aesthetic Oral & Facial Surgical Center of the Southwest, PC
Aesthetic Oral & Facial Surgical Center of the Southwest, PC is an Oral and Maxillofacial Surgery Clinic/Center in Keller, Texas. Licensed in Texas. Registered with an NPI since 2005.
- Licensed in
- TX
- In the registry since
- 2005
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1850 Keller Pkwy Ste 102Keller, TX 76248-3706
Phone: (817) 431-9566
Fax: (817) 337-8687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X · Licence 17519 (TX) |
|---|
Record details
| NPI number | 1790778314 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Starck — President · (817) 431-9566 |
| NPI enumerated | August 30, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1850 Keller Pkwy, Suite 102, Keller, TX 76248-3706 |
Other providers in Keller
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Texas Maxillofacial Surgery, PLLC
1850 Keller Pkwy Ste #102, Keller, TX 76248-3706 · (817) 431-9566