Provider Type Icon

VISTA PLASTIC SURGERY NPI 1356982870


NPI Information

NPI: 1356982870
Provider Name: VISTA PLASTIC SURGERY
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
4701 BEE CAVE RD
STE 202
AUSTIN, TX
ZIP 78746
Phone: (512) 755-8478
Get Directions

VISTA PLASTIC SURGERY 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. VISTA PLASTIC SURGERY NPI is 1356982870. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4701 BEE CAVE RD
STE 202
AUSTIN, TX
ZIP 78746-366
Phone: (512) 755-8478
Fax: (512) 572-8484

The provider's authorized official is Justin Henry Booth .
The authorized official title is Owner and has the following contact phone number (512) 755-8478.

The enumeration date for this NPI number is 10/6/2019 and was last updated on 6/12/2021.


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 SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11447570916OTHERNPI

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: 11/14/2023

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.