Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Park Place Plastic Surgery PLLC

Organization Plastic Surgery Physician · NPI 1538860408

Park Place Plastic Surgery PLLC is a Plastic Surgery Physician in Boerne, Texas. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26 Di Lusso Dr
Boerne, TX 78006-4703
Phone: (913) 980-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11212 State Highway 151, San Antonio, TX 78251-4498 — (913) 980-2525

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1538860408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Baeke — Owner, Surgeon · (913) 980-2525
NPI enumeratedMarch 16, 2023
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address26 Di Lusso Dr, Boerne, TX 78006-4703

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