Institute of Plastic Surgery in San Antonio, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J1851 Issued in TX

Legal business name

INSTITUTE OF PLASTIC SURGERY IN SAN ANTONIO, PA

Practice address

4499 Medical Drive
Suite 301
San Antonio, TX 78229-3713

Phone

(210) 692-3223

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Anthony Ayala, M.D.

Title

Physician

Phone

(210) 692-3223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1386803765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DRIVE",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-692-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DRIVE",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293713",
            "telephone_number": "210-692-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF PLASTIC SURGERY IN SAN ANTONIO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-692-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 22, 2009; 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.