Organization
AESTHETIC ENHANCEMENT COSMETIC & LASER CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N YOUNG MD (PRESIDENT)
(210) 496-2639
Entity
Organization
Contact information
Practice address
525 OAK CENTRE DR, #250, SAN ANTONIO, TX 78258-3944
(210) 496-2639
Mailing address
525 OAK CENTRE DR, #260, SAN ANTONIO, TX 78258-3944
(210) 496-2639
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
E7540
TX
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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