Organization
PLASTIC, RECONSTRUCTIVE & MICROSURGICAL ASSOCIATES OF SOUTH TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ROBERT LEDOUX MD (PRESIDENT)
(210) 692-1181
Entity
Organization
Contact information
Practice address
9635 HUEBNER RD, SAN ANTONIO, TX 78240-1512
(210) 692-1181
(210) 692-7584
Mailing address
9635 HUEBNER RD, SAN ANTONIO, TX 78240-1512
(210) 692-1181
(210) 692-7584
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084224701
—
TX
Enumeration date
08/30/2005
Last updated
02/22/2023
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