Organization · Type 2 NPI

Elite Plastic & Reconstructive Surgery, PA

Plastic and Reconstructive Surgery Physician · San Antonio, TX

NPI number 1508108887 Active

Practice location

11212 State Highway 151, Medical Plaza #2 Suite 230
San Antonio, TX 78251-4498

Call (210) 265-1924 Map

Fax (210) 265-3387

Mailing address

1931 Rogers Rd Ste 104
San Antonio, TX 78251-4853

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XM3496 (TX)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1508108887

Elite Plastic & Reconstructive Surgery, PA's National Provider Identifier is 1508108887, issued on Mar 25, 2013. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in San Antonio, TX. The record was last updated on Dec 30, 2024.