Provider Demographics
NPI:1871752774
Name:CONSTANTINE, FADI CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:FADI
Middle Name:CHRISTOPHER
Last Name:CONSTANTINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8220 WALNUT HILL LN
Mailing Address - Street 2:SUITE 206
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4427
Mailing Address - Country:US
Mailing Address - Phone:214-739-5760
Mailing Address - Fax:
Practice Address - Street 1:8220 WALNUT HILL LN
Practice Address - Street 2:SUITE 206
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4427
Practice Address - Country:US
Practice Address - Phone:214-739-5760
Practice Address - Fax:214-739-5966
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2014-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP7091208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery