institution
Elite Plastic & Reconstructive Surgery, Pa
Plastic and Reconstructive Surgery Physician in San Antonio, Texas
NPI 1508108887

Elite Plastic & Reconstructive Surgery, Pa is a Plastic and Reconstructive Surgery Physician based in San Antonio, TX and is specialized in Plastic and Reconstructive Surgery. Elite Plastic & Reconstructive Surgery, Pa practices in San Antonio, TX. The NPI Number for Elite Plastic & Reconstructive Surgery, Pa is 1508108887 and holds a License No. M3496 (Texas).

The current practice location address for Elite Plastic & Reconstructive Surgery, Pa is 11212 State Highway 151, San Antonio, TX and can be reached out via phone at 210-265-1924 and via fax at 210-265-3387.

Location: 11212 State Highway 151, San Antonio, TX, 78251-4498
institution
Provider Profile Details
NPI Number
1508108887
Provider Name
Elite Plastic & Reconstructive Surgery, Pa
Credential
Provider Entity Type
Organization
Address
11212 State Highway 151, San Antonio, TX, 78251-4498
Phone Number
210-265-1924
Fax Number
210-265-3387
Provider Enumeration Date
03/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
313312 01 TX PTAN
institution
Provider Business Practice Location Address Details
Address
11212 State Highway 151
City
State
Zip
78251-4498
Phone Number
210-265-1924
Fax Number
210-265-3387
person
Provider Business Mailing Address Details
Address
11212 State Highway 151
City
State
Zip
78251-4498
Phone Number
210-265-1924
Fax Number
210-265-3387
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
M3496 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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