TEXAS CENTER FOR FACIAL PLASTIC & LASER SURGERY LLC NPI 1033624663

NPI Information

TEXAS CENTER FOR FACIAL PLASTIC & LASER SURGERY, LLC is a facial plastic surgery otolaryngology in San Antonio, TX. The provider is an otolaryngologist who specializes in facial plastic surgery. TEXAS CENTER FOR FACIAL PLASTIC & LASER SURGERY, LLC NPI is 1033624663. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14603 HUEBNER RD STE 102
SAN ANTONIO, TX
ZIP 78230-469
Phone: (210) 468-5426
Fax: (210) 468-3282

The provider's authorized official is Kellie Hawkins .
The authorized official title is Credentialing Account Manager and has the following contact phone number (210) 298-6847.

The enumeration date for this NPI number is 12/5/2017 and was last updated on 12/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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