Provider Demographics
NPI:1174982375
Name:NEW BODY PLASTIC SURGERY, P.A.
Entity type:Organization
Organization Name:NEW BODY PLASTIC SURGERY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIAKAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-901-4121
Mailing Address - Street 1:23960 KATY FWY
Mailing Address - Street 2:130
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1339
Mailing Address - Country:US
Mailing Address - Phone:281-347-0096
Mailing Address - Fax:281-347-0102
Practice Address - Street 1:23960 KATY FWY
Practice Address - Street 2:130
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1339
Practice Address - Country:US
Practice Address - Phone:281-347-0096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7789208600000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty