NPIMap

Organization Active NPI

ER Docs Professional Association

Doing business as Cosmetic Center Laredo

  • Ambulatory Surgical Clinic/Center
  • Laredo, TX
National Provider Identifier
1205376068
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
E2997 Issued in TX
Legal business name
ER DOCS PROFESSIONAL ASSOCIATION
Doing business as
Cosmetic Center Laredo
Practice address
6410 McPherson Rd Ste 3
Laredo, TX 78041-6193
Phone
(956) 724-6000
Fax
(956) 724-6000
NPI assigned
Feb 27, 2017
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raul Sergio Cantu-Willman, M.D.NPI 1588842611
Title
President
Phone
(956) 724-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X E2997 TX Primary

Addresses

Primary practice location

6410 McPherson Rd Ste 3
Laredo, TX 78041-6193

Mailing address

6410 McPherson Rd Ste 3
Laredo, TX 78041-6193
Phone (956) 724-6000

Other names 1

  • Cosmetic Center Laredo Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1205376068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 MCPHERSON RD STE 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416193",
            "telephone_number": "956-724-6000",
            "fax_number": "956-724-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 MCPHERSON RD STE 3",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416193",
            "telephone_number": "956-724-6000",
            "fax_number": "956-724-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER DOCS PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "CANTU-WILLMAN",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-724-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "E2997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic Center Laredo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.