Organization
ADVANCED AESTHETICS OF TEXAS, PLLC
Active
Other names
Advanced Aesthetics Lopez Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LOPEZ ANTONIO LOPEZ MD (OWNER)
(210) 495-5771
Entity
Organization
Contact information
Practice address
18322 SONTERRA PL STE 107, SAN ANTONIO, TX 78258-4196
(210) 495-5771
(210) 966-9105
Mailing address
PO BOX 591819, SAN ANTONIO, TX 78259-0140
(210) 495-5771
(210) 966-9106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M2695
TX
Other
Enumeration date
03/03/2016
Last updated
12/01/2021
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