The Craniofacial Center

LBN: Jeffrey A Fearon Md P A
The Craniofacial Center is an health care organization with primary practice located at 7777 Forest Ln Ste C700 , Dallas TX 75230-2518. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Jeffrey A Fearon Md P A can be contacted via phone (972) 566-6464, or through Tipps, Alondra E via phone (972) 566-6464.

Contact Information

Primary practice address
7777 Forest Ln Ste C700 Dallas TX 75230-2518
Phone: (972) 566-6464
Fax: (972) 566-6279
Website:
Map and Directions
Authorized official contact:
Name: Tipps, Alondra E MBA CFO CMOM
Phone: (972) 566-6464

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X H8638 Texas

Profile Details

NPI number 1851439780
LBN Legal business name Jeffrey A Fearon Md P A
DBA Doing business as The Craniofacial Center
Authorized official Tipps, Alondra E MBA CFO CMOM
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Feb 16th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851439780 NPPES
Texas MEDICAID 093725201

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