PROLIXANT THERAPEUTICS LLC NPI 1063979482

NPI Information

  • NPI: 1063979482
  • Provider Name: PROLIXANT THERAPEUTICS LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 6205B BURNET RD
    AUSTIN, TX
    ZIP 78757
  • Phone: (512) 772-1225

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NPI Details

PROLIXANT THERAPEUTICS LLC is a plastic surgery in Austin, TX. The provider is 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. PROLIXANT THERAPEUTICS LLC NPI is 1063979482. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6205B BURNET RD
AUSTIN, TX
ZIP 78757-227
Phone: (512) 772-1225
Fax: (512) 772-1227

The provider's authorized official is Heather A Evans .
The authorized official title is President and has the following contact phone number (512) 804-8890.

The enumeration date for this NPI number is 2/21/2019 and was last updated on 7/15/2024.

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
1163WW0000XRegistered NurseWound CareNo
2207N00000XDermatologyNo
3207R00000XInternal MedicineNo
4207RI0200XInternal MedicineInfectious DiseaseNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6208200000XPlastic SurgeryYes
72082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNo
82086S0122XSurgeryPlastic and Reconstructive SurgeryNo
9208D00000XGeneral PracticeNo
10213E00000XPodiatristNo
11225100000XPhysical TherapistNo
12246RP1900XTechnician, PathologyPhlebotomyNo
13332B00000XDurable Medical Equipment & Medical SuppliesNo

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: 11/21/2025

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