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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Plastic Surgery of Northeast San Antonio

Exclusive Provider Organization in San Antonio, TX · enumerated 2010 · authorized official Mary Flores, Dr.'S Assistant/ Billing Personel.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548575707

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Registry record

Entity type Organization (Type 2)
Legal business name Plastic Surgery of Northeast San Antonio
Parent organization Kenzer J Dirkson MD
Practice address 19315 Nacogdoches Rd, Ste. 305, San Antonio, TX, 78266
Fax (210) 656-4217
Enumeration date Aug 12, 2010
Last updated in NPPES Aug 12, 2010

Taxonomy & classification

302F00000X Exclusive Provider Organization Managed Care Organizations · License K7278 (TX) Primary

Authorized official

Name Mary Flores
Title Dr.'S Assistant/ Billing Personel

Other identifiers

Identifier Type State Issuer
127561201 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-08-12. Verify at npiregistry.cms.hhs.gov.
Where is Plastic Surgery of Northeast San Antonio located?
The practice location on file with NPPES is in San Antonio, TX.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-12.