Plastic Surgery of Northeast San Antonio
Plastic Surgery of Northeast San Antonio is an Exclusive Provider Organization in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2010.
- Licensed in
- TX
- In the registry since
- 2010
Practice location Address checks out
19315 Nacogdoches Rd Ste 305San Antonio, TX 78266-2516
Phone: (210) 656-4216
Fax: (210) 656-4217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence K7278 (TX) |
|---|
Record details
| NPI number | 1548575707 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Kenzer J Dirkson MD |
| Authorized official | Mary Flores — Dr.'S Assistant/ Billing Personel · (210) 656-4216 |
| NPI enumerated | August 12, 2010 |
| Last updated in NPPES | August 12, 2010 |
| Mailing address | 19315 Nacogdoches Rd, Ste. 305, San Antonio, TX 78266-2516 |
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