Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genecov Plastic Surgery Group, PA

Organization Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · NPI 1164549887

Genecov Plastic Surgery Group, PA is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7777 Forest Ln Ste C528
Dallas, TX 75230-6848
Phone: (972) 331-1900
Fax: (972) 331-1909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (primary) Taxonomy 2082S0099X · Licence NA (TX)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 19138 (TX)

Record details

NPI number1164549887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juli Smiddy — Practice Administrator · (972) 331-1900
NPI enumeratedMarch 26, 2007
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021
Mailing address7777 Forest Ln Ste C528, Dallas, TX 75230-6848

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