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General NPI Number Information
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NPI Number | 1134445976
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS BREAST & PLASTIC SURGERY CENTER P.A.
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2435 W OAK ST STE 103
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City | DENTON
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State | TX
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Zip | 76201-4313
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Country | US
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Telephone | 940-387-4900
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Fax | 940-387-4966
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Provider Business Mailing Address
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Address Line | 2435 W OAK ST STE 103
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City | DENTON
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State | TX
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Zip | 76201-4313
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Country | US
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Telephone | 940-387-4900
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Fax | 940-387-4966
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Authorized Official
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Title or Position | OWNER
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Name | BRUCE HERMANN
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Credential | MD
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Telephone | 940-387-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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