P Praxis·MD
● Active Type 2 · Organization Subpart

Plastic Surgery Of Northeast San Antonio

Exclusive Provider Organization·San Antonio, TX· NPI 1548575707 · Enumerated 2010 · 15 years on NPI
Plastic Surgery Of Northeast San Antonio is 1 of 162 exclusive provider organization organizations in Texas.
NPI age
15 years
Enumerated 2010-08-12
Primary specialty
Exclusive Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Flores
Dr.'S Assistant/ Billing Personel
Last NPPES update
2010-08-12
Source: monthly bulk 2026-05

How this organization compares

Across 162 active exclusive provider organization providers in Texas.

NPI age
15 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-08Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
19315 Nacogdoches Rd, Ste. 305
San Antonio, TX 782662516
📞 2106564216fax 2106564217
Mailing address
19315 Nacogdoches Rd, Ste. 305
San Antonio, TX 782662516
📞 2106564216fax 2106564217

Authorized official

Mary E Flores
Dr.'S Assistant/ Billing Personel
📞 2106564216

Specialties

  • Exclusive Provider Organization Primary
    (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
    TX license #K7278 taxonomy 302F00000X

Identifiers

TypeValueNotes
05 (TX) 127561201

Practice context

Single-site organization. Only one practice location on file.

Subpart of Kenzer J Dirkson MD.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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