Advanced Aesthetics of Texas, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

M2695 Issued in TX

Legal business name

ADVANCED AESTHETICS OF TEXAS, PLLC

Doing business as

Advanced Aesthetics Lopez Plastic Surgery

Practice address

18322 Sonterra PL Ste 107
San Antonio, TX 78258-4196

Phone

(210) 495-5771

Fax

(210) 966-9105

NPI assigned

Mar 3, 2016

Last updated

Jun 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lopez Antonio Lopez, MD

Title

Owner

Phone

(210) 495-5771

Specialties & licenses 1

Addresses

Other names 1

• Advanced Aesthetics Lopez Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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.

• Manuel Antonio Lopez, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Antonio, TX
  • NPI 1770505984
  Medicare reassignment NPD
• Christopher A Perro, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tyler, TX
  • NPI 1346462496
  Medicare reassignment NPD
• Niccole Read Campbell, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1700224292
  Medicare reassignment
• Rebecca Elizabeth Lederer-Rodriguez, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1649688789
  Medicare reassignment
• Ashley Lenette Boyd Blevins, PA

  • Physician Assistant
  • San Antonio, TX
  • NPI 1770995813
  NPD
• Alexandra Anzaldua Denson, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1447756846
  NPD

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1326408329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591819",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590140",
            "telephone_number": "210-495-5771",
            "fax_number": "210-966-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18322 SONTERRA PL STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584196",
            "telephone_number": "210-495-5771",
            "fax_number": "210-966-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AESTHETICS OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LOPEZ",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-495-5771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M2695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Aesthetics Lopez Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rohin Reddy Adunuri, PARAMEDIC
• Advance Care Transportation LLC
• Advance Forward Medical Billing LLC
• Advance Hi-Tech Nursing, Inc. (LifeSpan Home Care)
• Advance Pain Relilef
• Advanced Allergy of San Antonio
• Advanced Allergy, Asthma, & Immunology Center, P.a.
• Advanced Anesthesia Consultants
• Advanced Anesthesia Services
• Advanced Behavioral Intervention Therapies, Inc

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.