AESTHETIC AND RECONSTRUCTIVE THERAPEUTICS PLLC NPI 1952786212

NPI Information

NPI: 1952786212
Provider Name: AESTHETIC AND RECONSTRUCTIVE THERAPEUTICS PLLC

Doing Business As: AUSTIN PLASTIC & RECONSTRUCTIVE SURGERY

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 45D2008426

Address:
2905 SAN GABRIEL ST STE 100
AUSTIN, TX
ZIP 78705
Phone: (512) 815-0123
Get Directions

AESTHETIC AND RECONSTRUCTIVE THERAPEUTICS PLLC is a plastic and reconstructive surgery surgery in Austin, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. AESTHETIC AND RECONSTRUCTIVE THERAPEUTICS PLLC NPI is 1952786212. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Austin Plastic & Reconstructive Surgery.

The provider's business location address is:

2905 SAN GABRIEL ST STE 100
AUSTIN, TX
ZIP 78705-548
Phone: (512) 815-0123
Fax: (512) 763-4546

The provider's authorized official is Christine Fisher .
The authorized official title is Md/owner and has the following contact phone number (512) 815-0123.

The CLIA number assigned to this NPI record is 45D2008426 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2015 and was last updated on 4/24/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	P6546	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	368659401	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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