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Organization

PARK PLACE PLASTIC SURGERY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BAEKE MD (OWNER, SURGEON)
(913) 980-2525
Entity
Organization

Contact information

Practice address
26 DI LUSSO DR, BOERNE, TX 78006-4703
(913) 980-2525
Mailing address
26 DI LUSSO DR, BOERNE, TX 78006-4703
(913) 980-2525

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
03/16/2023
Last updated
03/16/2023
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