Active NPI
Texas Center for Facial Plastic & Laser Surgery, LLC
- Facial Plastic Surgery Physician
- San Antonio, TX
National Provider Identifier
1033624663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- Legal business name
- TEXAS CENTER FOR FACIAL PLASTIC & LASER SURGERY, LLC
- Practice address
- 14603 Huebner Rd Ste 102
San Antonio, TX 78230-5469 - Phone
- (210) 468-5426
- Fax
- (210) 468-3282
- NPI assigned
- Dec 5, 2017
- Last updated
- Dec 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kellie Hawkins
- Title
- Credentialing Account Manager
- Phone
- (210) 298-6847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | TX | Primary |
Addresses
Primary practice location
14603 Huebner Rd Ste 102
San Antonio, TX 78230-5469
Mailing address
14603 Huebner Rd Ste 102
San Antonio, TX 78230-5469
Phone (210) 468-5426
National Provider Directory
National Provider DirectoryLocations
14603 Huebner Rd
Ste 102
San Antonio, TX 78230
Phone (210) 468-5426
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Facial Plastic Surgery Physician
- San Antonio, TX
- NPI 1619966686
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512432000000",
"number": "1033624663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14603 HUEBNER RD STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305469",
"telephone_number": "210-468-5426",
"fax_number": "210-468-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14603 HUEBNER RD STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305469",
"telephone_number": "210-468-5426",
"fax_number": "210-468-3282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS CENTER FOR FACIAL PLASTIC & LASER SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-05",
"last_updated": "2017-12-05",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "KELLIE",
"authorized_official_title_or_position": "CREDENTIALING ACCOUNT MANAGER",
"authorized_official_telephone_number": "210-298-6847",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Texas Bluebonnet Home Health
- Texas Bone Health and Wellness Center
- Texas Cancer Clinic PA
- Texas Cardiac and Vascular Specialists PA
- Texas Cardiac Arrythmia PLLC
- Texas Center for Medical & Surgical Weight Loss P a (Sage Bariatric Institue)
- Texas Concierge Physical Therapy
- Texas Country Dental
- Texas Dental Sleep Services PLLC
- Texas Dental Specialist Practice, PLLC (Texas Dental Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.