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Organization

PRESTIGE COSMETIC SURGERY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BERNARD KOPCHINSKI MD, FACS (PRESIDENT, PLASTIC SURGEON)
(210) 255-1764
Entity
Organization

Contact information

Practice address
18707 HARDY OAK BLVD STE 455, SAN ANTONIO, TX 78258-4841
(210) 255-1764
(210) 255-8891
Mailing address
18707 HARDY OAK BLVD STE 455, SAN ANTONIO, TX 78258-4841
(210) 255-1764
(210) 255-8891

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K3597
TX

Other

Enumeration date
03/01/2013
Last updated
03/01/2013
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