Provider Demographics
NPI:1649477605
Name:SAN ANTONIO PLASTIC SURGERY CTR
Entity type:Organization
Organization Name:SAN ANTONIO PLASTIC SURGERY CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFF ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-616-0798
Mailing Address - Street 1:7950 FLOYD CURL DR
Mailing Address - Street 2:STE 904
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-616-0798
Mailing Address - Fax:210-616-0581
Practice Address - Street 1:7950 FLOYD CURL DR
Practice Address - Street 2:STE 904
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-616-0798
Practice Address - Fax:210-616-0581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty