# PITTMAN PLASTIC SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306691167
- **Authorized official:** VIRGINIA A. PITTMAN-WALLER MD (PHYSICIAN)
- **Authorized official phone:** (210) 416-6000

## Contact information

- **Practice address:** 3003 S LOOP W STE 210, HOUSTON, TX 77054-1372
- **Practice address phone:** (713) 662-9500
- **Mailing address:** 818 W 41ST ST, HOUSTON, TX 77018-5308
- **Mailing address phone:** (210) 416-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 04/23/2024