Whalio Doctors

NPI 1548575707

Plastic Surgery of Northeast San Antonio

Organisation Exclusive Provider Organization San Antonio, TX

Practice location

Address
19315 Nacogdoches Rd STE. 305, San Antonio, TX 78266-2516
Phone
(210) 656-4216
Fax
(210) 656-4217

Authorised official

Name
Mary E Flores
Title
Dr.'s Assistant/ Billing Personel
Phone
(210) 656-4216

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence K7278 (TX)

Registry record

NPI
1548575707
Entity type
Organization
NPI issued
12 Aug 2010
Record last updated
12 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.