Breast Recon Specialists, PLLC
Breast Recon Specialists, PLLC is a Plastic and Reconstructive Surgery Physician in Colleyville, Texas. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7167 Colleyville Blvd Ste 102Colleyville, TX 76034-8002
Phone: (817) 484-0169
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X |
|---|
Record details
| NPI number | 1104348614 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jon Ver Halen — Md · (817) 416-8080 |
| NPI enumerated | July 17, 2017 |
| Last updated in NPPES | August 5, 2020 |
| Certification date | August 5, 2020 |
| Mailing address | 1717 Wisteria Way, Westlake, TX 76262-9083 |