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GALEN SAMUEL WACHTMAN MD NPI 1619030418


NPI Information

NPI: 1619030418
Provider Name: GALEN SAMUEL WACHTMAN, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
1601 TRINITY ST, STE 704-D
AUSTIN, TX
ZIP 78712
Phone: (512) 324-8320
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Galen Samuel Wachtman, MD is a plastic and reconstructive surgery surgery in Austin, TX with 20 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Galen Samuel Wachtman, MD NPI is 1619030418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

1601 TRINITY ST, STE 704-D
AUSTIN, TX
ZIP 78712
Phone: (512) 324-8320
Fax: (512) 324-8323

The NPI 1619030418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 3/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryMT184053PENNSYLVANIANo
2208200000XPlastic SurgeryP6546TEXASNo
32082S0105XPlastic SurgerySurgery of the HandP6546TEXASNo
42086S0122XSurgeryPlastic and Reconstructive SurgeryP6546TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.