AESTHETIC AND RECONSTRUCTIVE THERAPEUTICS PLLC NPI 1952786212

NPI Information

  • NPI: 1952786212
  • Provider Name: AESTHETIC AND RECONSTRUCTIVE THERAPEUTICS PLLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • :
  • CLIA Number: 45D2008426
  • Address: 2905 SAN GABRIEL ST STE 100
    AUSTIN, TX
    ZIP 78705
  • Phone: (512) 815-0123

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NPI Details

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 .

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 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 11/24/2025.

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
1208200000XPlastic SurgeryNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryP6546TEXASYes

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
1368659401MEDICAIDTEXAS

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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