Provider Demographics
NPI:1578133997
Name:DR MEGAN OTOOLE PLLC
Entity Type:Organization
Organization Name:DR MEGAN OTOOLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OTOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-942-0292
Mailing Address - Street 1:14439 NW MILITARY HWY STE 424
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1646
Mailing Address - Country:US
Mailing Address - Phone:210-847-2492
Mailing Address - Fax:424-349-0407
Practice Address - Street 1:18707 HARDY OAK BLVD STE 435
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4792
Practice Address - Country:US
Practice Address - Phone:210-942-0292
Practice Address - Fax:424-349-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty