NPI | 1992708721 |
---|---|
Former Legal Business Name | FREDERICK J. DUFFY, JR., M.D., P.A. |
Entity Type | Organization |
Authorized Contact | BRICE W MCKANE President 972-566-3939 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX K2452) |
Additional Taxonomies | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: TX K2452) |
2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: TX M1233) | |
Enumeration Date | 2005-05-24 |
Last Update Date | 2018-11-27 |