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TEXOMA PLASTIC SURGERY, P.A.
NPI 1578882809
Plastic Surgery in Wichita Falls, TX

Active since May 26, 2010
2200 KELL BLVD, WICHITA FALLS, TX 76309(940) 264-2600(940) 264-2601 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Texoma Plastic Surgery, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEXOMA PLASTIC SURGERY, P.A. (NPI 1578882809) is a healthcare organization registered as a plastic surgery in Wichita Falls, Texas and active in the NPI registry since May 2010. The organization lists Phillip J Stephan, Principle, as its authorized official.

NPPES Registry Identity

NPI1578882809
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTEXOMA PLASTIC SURGERY, P.A.
Location Address2200 KELL BLVDWichita Falls, TX 76309-4401
Mailing AddressPo Box 1011Wichita Falls, TX 76307-1011 · (214) 522-0210 · Fax (214) 522-0474
Phone(940) 264-2600
Fax(940) 264-2601
Organization SubpartNo
Authorized OfficialPhillip J StephanPrinciple · (214) 415-6320
Enumeration DateMay 26, 2010
Last NPPES UpdateMarch 5, 2014
✔ NPI 1578882809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in TX · L2679
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2200 KELL BLVD, Wichita Falls, TX 76309
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Other Identifiers 1

Medicare UPINH88385TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Texoma Plastic Surgery, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Texoma Plastic Surgery, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Phillip Stephan, M.D.
Plastic and Reconstructive Surgery
NPI 1053387399
2200 KELL BLVD
Wichita Falls, TX 76309
(940) 264-2600
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Texoma Plastic Surgery, P.A.'s NPI number?

The NPI number for Texoma Plastic Surgery, P.A. is 1578882809. It was assigned to this organization in the NPPES registry on May 26, 2010.

Where is Texoma Plastic Surgery, P.A. located?

Texoma Plastic Surgery, P.A. is located at 2200 Kell Blvd, Wichita Falls, TX 76309. The listed phone number is (940) 264-2600.

What is Texoma Plastic Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Texoma Plastic Surgery, P.A. enrolled in Medicare?

Yes. Texoma Plastic Surgery, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Texoma Plastic Surgery, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Texoma Plastic Surgery, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Texoma Plastic Surgery, P.A. was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.