Provider Demographics
NPI:1144511064
Name:TEXAS ELITE PLASTIC SURGERY PLLC
Entity type:Organization
Organization Name:TEXAS ELITE PLASTIC SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:NAJERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-234-8890
Mailing Address - Street 1:3140 LEGACY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6008
Mailing Address - Country:US
Mailing Address - Phone:469-234-8890
Mailing Address - Fax:469-234-8894
Practice Address - Street 1:3140 LEGACY DR STE 210
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6008
Practice Address - Country:US
Practice Address - Phone:469-234-8890
Practice Address - Fax:469-234-8894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-26
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN-7952261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center