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Plastic, Reconstructive & Microsurgical Associates of South Texas PLLC

NPI 1063405504ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· San Antonio, TX

Surgery, Plastic and Reconstructive Surgery in San Antonio, Texas, registered in NPPES in August 2005. The authorized official on file is Peter Robert Ledoux, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1063405504
StatusActive
Entity typeOrganization
NPI issuedAug 30, 2005
Last updated in NPPESFeb 22, 2023
Certified by providerFeb 22, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Plastic and Reconstructive Surgery Primary2086S0122X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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