Provider Demographics
NPI:1598555229
Name:ARBRA PLASTIC SURGERY, PLLC
Entity type:Organization
Organization Name:ARBRA PLASTIC SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATARZYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANIA-MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:317-418-9919
Mailing Address - Street 1:308 SW AUTUMN HILLS RD
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-7103
Mailing Address - Country:US
Mailing Address - Phone:317-418-9919
Mailing Address - Fax:
Practice Address - Street 1:4500 S DIXIELAND RD STE 102
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-3068
Practice Address - Country:US
Practice Address - Phone:317-418-9919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1194187765OtherNPI