Organization
ELEGANCE BODY ENHANCEMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO J LOREDO III MD (PRESIDENT)
(972) 939-4974
Entity
Organization
Contact information
Practice address
2008 E HEBRON PKWY, STE 120, CARROLLTON, TX 75007-1602
(972) 939-4974
(972) 939-4973
Mailing address
PO BOX 243, HURST, TX 76053-0243
(972) 939-4974
(972) 939-4973
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
N0228
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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