Clinique Dallas Plastic Surgery PLLC
NPI 1689808941ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Dallas, TX
Surgery, Plastic and Reconstructive Surgery in Dallas, Texas, registered in NPPES in May 2009. The authorized official on file is John William Antonetti, Ceo/Surgeon. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689808941 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2009 |
| Last updated in NPPES | Sep 23, 2025 |
| Certified by provider | Sep 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | TX |
| Plastic Surgery | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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