PLASTIC RECONSTRUCTIVE & MICROSURGICAL ASSOCIATES OF SOUTH TEXAS PLLC NPI 1063405504

NPI Information

PLASTIC, RECONSTRUCTIVE & MICROSURGICAL ASSOCIATES OF SOUTH TEXAS PLLC is a plastic and reconstructive surgery surgery in San Antonio, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC, RECONSTRUCTIVE & MICROSURGICAL ASSOCIATES OF SOUTH TEXAS PLLC NPI is 1063405504. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9635 HUEBNER RD
SAN ANTONIO, TX
ZIP 78240-512
Phone: (210) 692-1181
Fax: (210) 692-7584

The provider's authorized official is Peter Robert Ledoux .
The authorized official title is President and has the following contact phone number (210) 692-1181.

The CLIA number assigned to this NPI record is 45D2056051 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 2/22/2023.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.