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

Plastic, Reconstructive & Microsurgical Associates of South Texas PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1063405504

Plastic, Reconstructive & Microsurgical Associates of South Texas PLLC is a Plastic and Reconstructive Surgery Physician in San Antonio, Texas. Works from 2 locations. Registered with an NPI since 2005.

In the registry since
2005
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

9635 Huebner Rd
San Antonio, TX 78240-1512
Phone: (210) 692-1181
Fax: (210) 692-7584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 502 Madison Oak Dr Ste 220, San Antonio, TX 78258-4192 — (210) 692-1181

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1063405504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Ledoux — President · (210) 692-1181
NPI enumeratedAugust 30, 2005
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address9635 Huebner Rd, San Antonio, TX 78240-1512

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