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KEYSTONE PLASTIC RECONSTRUCTIVE SURGERY,LLC
NPI 1598977290
Surgery - Plastic and Reconstructive Surgery in The Woodlands, TX

Active since May 04, 2007
3115 COLLEGE PARK DR, SUITE 101, THE WOODLANDS, TX 77384(936) 321-4345(936) 321-4353 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keystone Plastic Reconstructive Surgery,llc NPPES

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

KEYSTONE PLASTIC RECONSTRUCTIVE SURGERY,LLC (NPI 1598977290) is a healthcare organization registered as a plastic and reconstructive surgery in The Woodlands, Texas and active in the NPI registry since May 2007. The organization lists Thomas O Shannon, General Manager, as its authorized official.

NPPES Registry Identity

NPI1598977290
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameKEYSTONE PLASTIC RECONSTRUCTIVE SURGERY,LLC
Location Address3115 COLLEGE PARK DR, SUITE 101The Woodlands, TX 77384-4000
Mailing Address3115 College Park Dr, Suite 101The Woodlands, TX 77384-4000 · (936) 321-4345 · Fax (936) 321-4353
Phone(936) 321-4345
Fax(936) 321-4353
Organization SubpartNo
Authorized OfficialThomas O ShannonGeneral Manager · (936) 321-4345
Enumeration DateMay 4, 2007
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1598977290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3115 COLLEGE PARK DR, The Woodlands, TX 77384
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Other Identifiers 1

Medicaid080725701TX

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHELLEY NAUMAN RN
Registered Nurse (Pediatrics)
3115 COLLEGE PARK DR, SUITE 104
CONROE, TX 77384
Montgomery County (936) 321-5030
MURRAY BRUCE FERSHTMAN MD
Pediatrics
3115 COLLEGE PARK DR, STE #104
CONROE, TX 77384
Montgomery County (936) 321-5030
MRS. NORMA ANGELICA GALVEZ MEDICAL ASSISTANT
Specialist/Technologist, Other
3115 COLLEGE PARK DR, SUITE #104
CONROE, TX 77384
Montgomery County (936) 321-5030
SHAIL MAHESHWARI MD PLLC
Internal Medicine (Gastroenterology)
3115 COLLEGE PARK DR, SUITE 107
THE WOODLANDS, TX 77384
Montgomery County (936) 321-5440
EVAN TOW DO
Emergency Medicine
3115 COLLEGE PARK DR, SUITE 108
THE WOODLANDS, TX 77384
Montgomery County (936) 447-9351
RALPH P. PEARCE MD, PA
Internal Medicine (Gastroenterology)
3115 COLLEGE PARK DR, SUITE 107
THE WOODLANDS, TX 77384
Montgomery County (936) 321-5440
MRS. ANNE H CAMPBELL P.T
Physical Therapist
3115 COLLEGE PARK DR, STE 109
THE WOODLANDS, TX 77384
Montgomery County (936) 273-1095
KERI REGINA FERSHTMAN CPNP
Nurse Practitioner (Pediatrics)
3115 COLLEGE PARK DR, SUITE 104
CONROE, TX 77384
Montgomery County (936) 321-5030

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 Keystone Plastic Reconstructive Surgery,llc's NPI number?

The NPI number for Keystone Plastic Reconstructive Surgery,llc is 1598977290. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Keystone Plastic Reconstructive Surgery,llc located?

Keystone Plastic Reconstructive Surgery,llc is located at 3115 College Park Dr Suite 101, The Woodlands, TX 77384. The listed phone number is (936) 321-4345.

What is Keystone Plastic Reconstructive Surgery,llc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Keystone Plastic Reconstructive Surgery,llc was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.