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45D1095267 CLIA NUMBER - TJELMELAND PLASTIC SURGERY PA

Laboratory Demographics

CLIA Number: 45D1095267

Facility Name: TJELMELAND PLASTIC SURGERY PA

Facility Address:
4220 BULL CREEK ROAD
AUSTIN, TX
ZIP 78731
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Facility Phone Number: 512 617-7500

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1710071832

Taxonomy: 208200000X - Plastic Surgery
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

CLIA Record

Field Name Field Value
CLIA Number 45D1095267
LAB Type Physician Office
Facility Name TJELMELAND PLASTIC SURGERY PA
Street 4220 BULL CREEK ROAD
City AUSTIN
State TX
ZIP 78731
Phone 512 617-7500
CertificateType 4
CertificateEffectiveDate 2/5/2023
CertificateExpirationDate 2/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024