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PREMIER PLASTIC AND RECONSTRUCTIVE SURGERY PLLC NPI 1780343848


NPI Information

NPI: 1780343848
Provider Name: PREMIER PLASTIC AND RECONSTRUCTIVE SURGERY PLLC
Classification: Surgery - 2086S0102X
Entity Type: Organization

Specialization: Surgical Critical Care

Address:
7700 FLOYD CURL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 575-2876
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PREMIER PLASTIC AND RECONSTRUCTIVE SURGERY PLLC is a surgical critical care surgery in San Antonio, TX. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. PREMIER PLASTIC AND RECONSTRUCTIVE SURGERY PLLC NPI is 1780343848. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7700 FLOYD CURL DR
SAN ANTONIO, TX
ZIP 78229-902
Phone: (210) 575-2876
Fax: (888) 849-4257

The provider's authorized official is Margaret Raskowsky .
The authorized official title is Adminstration and has the following contact phone number (888) 491-1210.

The enumeration date for this NPI number is 12/15/2021 and was last updated on 2/7/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryNo
32086S0102XSurgerySurgical Critical CareYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1442357601MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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