Organization
AESTHETIC SURGERY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R DAY MD (OWNER)
(254) 626-5106
Entity
Organization
Contact information
Practice address
2301 S CLEAR CREEK RD, SUITE 106, KILLEEN, TX 76549-4198
(254) 526-5106
(254) 526-7853
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040JFD
BCBS OF TEXAS
TX
05
—
155219201
—
TX
Enumeration date
02/29/2008
Last updated
06/06/2008
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