Plastic Surgery Of Northeast San Antonio

LBN: Plastic Surgery Of Northeast San Antonio
Plastic Surgery Of Northeast San Antonio is an health care organization with primary practice located at 19315 Nacogdoches Rd Ste. 305, San Antonio TX 78266-2516. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Plastic Surgery Of Northeast San Antonio can be contacted via phone (210) 656-4216, or through Flores, Mary E via phone (210) 656-4216.

Contact Information

Primary practice address
19315 Nacogdoches Rd Ste. 305 San Antonio TX 78266-2516
Phone: (210) 656-4216
Fax: (210) 656-4217
Website:
Map and Directions
Authorized official contact:
Name: Flores, Mary E
Phone: (210) 656-4216

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X K7278 Texas

Profile Details

NPI number 1548575707
LBN Legal business name Plastic Surgery Of Northeast San Antonio
DBA Doing business as
Authorized official Flores, Mary E
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 12th, 2010
Last updated Aug 12th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548575707 NPPES
Texas MEDICAID 127561201

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