FACIAL & OCULOPLASTIC SURGERY CENTER OF TEXAS, PLLC (NPI# 1619292166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619292166 |
| Entity Type | Organization |
| Organization Name | FACIAL & OCULOPLASTIC SURGERY CENTER OF TEXAS, PLLC |
| Practice Address |
1314 E Sonterra Blvd Suite 5104 San Antonio TX 78258-4278 |
| Mailing Address |
Po Box 592329 San Antonio TX 78259-0166 |
| Practice Telephone | 2104952367 |
| Mailing Telephone | 2104952367 |
| Mailing Fax Number | 2104950155 |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | DR. CHRISTOPHER M. DEBACKER (PARTNER) |
| Authorized Official Telephone | 2104952367 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
1314 E SONTERRA BLVD SUITE 5104 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316905839 | Christopher Macdonald Debacker | Ophthalmology | 1314 E Sonterra Blvd, Suite 5104, San Antonio, TX 78258-4278 | 2006-05-03 |
| 1770148298 | Kira Angelique Hernandez | Nurse Practitioner | 1314 E Sonterra Blvd, San Antonio, TX 78258-4278 | 2019-05-09 |
| 1063996338 | Rachel Lauren Hedrick | Psychologist | 1314 E Sonterra Blvd, Suite 2208, San Antonio, TX 78258 | 2018-09-21 |
| 1184099871 | Eyeplastx | Ophthalmology | 1314 E Sonterra Blvd, Suite 5104, San Antonio, TX 78258-4278 | 2015-12-06 |
| 1629310610 | Alamo Family Foot Care, Pa | Podiatrist | 1314 E Sonterra Blvd, Bldg. 3, Suite 302, San Antonio, TX 78258-4278 | 2013-03-18 |
| 1497007397 | Texas Hill Country Endodontics Pllc | Dentist | 1314 E Sonterra Blvd, 301, San Antonio, TX 78258-4278 | 2012-10-03 |
| 1053549691 | Kristi Michelle Olivares | Nurse Practitioner | 1314 E Sonterra Blvd, #5102, San Antonio, TX 78258-4278 | 2009-06-22 |
| 1952579575 | Debra E Gallop | Nurse Practitioner | 1314 E Sonterra Blvd, Suite 5203, San Antonio, TX 78258-4278 | 2008-02-16 |
| 1073796736 | Can Thera, Pa | Internal Medicine | 1314 E Sonterra Blvd, Suite 5101, San Antonio, TX 78258-4278 | 2007-12-17 |
| 1184803074 | Solo Doc Md Pa | Family Medicine | 1314 E Sonterra Blvd, Suite 5203, San Antonio, TX 78258-4278 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760036990 | Ward Dittmar Heinrich Jr. | Ophthalmology | 3295 Lockhill Selma Rd, San Antonio, TX 78230-3024 | 2019-07-25 |
| 1821403510 | Anhtuan Hoang Nguyen | Ophthalmology | 7703 Floyd Curl Drive Mc 6230, Attn: Education Office, San Antonio, TX 78229-3900 | 2014-06-22 |
| 1649699307 | Edward Rickie Lim Chu | Ophthalmology | 7703 Floyd Curl Dr # 6230, San Antonio, TX 78229-3901 | 2014-04-10 |
| 1376817999 | Peter Joseph Ness | Ophthalmology | 8239 Campobello Dr, San Antonio, TX 78218 | 2012-02-29 |
| 1366749343 | Aaron C Hager | Ophthalmology | Oakwell Court Medical Office Building, 3338 Oakwell Court, Suite 212, San Antonio, TX 78218-3088 | 2011-02-28 |
| 1245540699 | Joel Z. Taylor, M.d., P.a. | Ophthalmology | 7434 Louis Pasteur Dr # A1, San Antonio, TX 78229-4538 | 2010-10-19 |
| 1205154895 | Roger Allen Velasquez | Ophthalmology | 6810 West Ave, Unit A, San Antonio, TX 78213-1817 | 2010-05-07 |
| 1205067907 | Wendy Baca M.d.p.a. | Ophthalmology | 7049 San Pedro Ave, San Antonio, TX 78216-6209 | 2009-07-30 |
| 1164650735 | Mark Joseph Trevino | Ophthalmology | 414 Navarro St Ste 400, San Antonio, TX 78205 | 2009-06-23 |
| 1982841508 | John F Saunders,md,pa | Ophthalmology | 7711 Louis Pasteur Ste 603, San Antonio, TX 78229-3421 | 2009-01-20 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.