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Genecov Plastic Surgery Group, PA

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Dallas, TX · enumerated 2007 · authorized official Juli Smiddy, Practice Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164549887

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Registry record

Entity type Organization (Type 2)
Legal business name Genecov Plastic Surgery Group, PA
Practice address 7777 Forest Ln Ste C528, Dallas, TX, 75230
Fax (972) 331-1909
Enumeration date Mar 26, 2007
Last updated in NPPES Apr 16, 2021

Taxonomy & classification

2082S0099X Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Allopathic & Osteopathic Physicians · License NA (TX) Primary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License 19138 (TX) Secondary

Authorized official

Name Juli Smiddy
Title Practice Administrator

Other identifiers

Identifier Type State Issuer
112848004 Medicaid TX -
TXB102342 Other - MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-04-16. Verify at npiregistry.cms.hhs.gov.
Where is Genecov Plastic Surgery Group, PA located?
The practice location on file with NPPES is in Dallas, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-16.