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PARAGON PLASTIC SURGERY & MED SPA LLC.
NPI 1578979902
Clinic/Center - Ambulatory Surgical in Mansfield, TX

Active since July 07, 2014CLIA 45D2078890 · Waiver
1101 MATLOCK RD, MANSFIELD, TX 76063(817) 473-2120(817) 887-5233 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paragon Plastic Surgery & Med Spa Llc. NPPES

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

PARAGON PLASTIC SURGERY & MED SPA LLC. (NPI 1578979902) is a healthcare organization registered as an ambulatory surgical in Mansfield, Texas and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Mark Bishara, Owner, as its authorized official.

NPPES Registry Identity

NPI1578979902
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePARAGON PLASTIC SURGERY & MED SPA LLC.
Location Address1101 MATLOCK RDMansfield, TX 76063-3442
Mailing Address1101 Matlock RdMansfield, TX 76063-3442 · (817) 473-2120 · Fax (817) 887-5233
Phone(817) 473-2120
Fax(817) 887-5233
Organization SubpartNo
Authorized OfficialMark BisharaOwner · (817) 473-2120
Enumeration DateJuly 7, 2014
✔ NPI 1578979902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in TX · N2005
1101 MATLOCK RD, Mansfield, TX 76063
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2078890

Paragon Plastic Surgery · Mansfield, TX
Active · expires Jun 4, 2028
CLIA Number45D2078890
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorMark A. Bishara
Laboratory Phone(817) 473-2120
Laboratory LocationParagon Plastic Surgery1101 Matlock Road, Mansfield, TX 76063
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Paragon Plastic Surgery & Med Spa LLC.'s NPI number?

The NPI number for Paragon Plastic Surgery & Med Spa LLC. is 1578979902. It was assigned to this organization in the NPPES registry on July 7, 2014.

Where is Paragon Plastic Surgery & Med Spa LLC. located?

Paragon Plastic Surgery & Med Spa LLC. is located at 1101 Matlock Rd, Mansfield, TX 76063. The listed phone number is (817) 473-2120.

What is Paragon Plastic Surgery & Med Spa LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Paragon Plastic Surgery & Med Spa LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2078890) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paragon Plastic Surgery & Med Spa LLC. was last updated on July 7, 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.