1932645058 NPI number — FACIAL FOCUS COSMETIC SURGERY PLLC

Table of content: (NPI 1932645058)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932645058 NPI number — FACIAL FOCUS COSMETIC SURGERY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FACIAL FOCUS COSMETIC SURGERY PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932645058
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10815 RR 2222 BLDG 3C
Provider Second Line Business Mailing Address:
STE. 101
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78730-1159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-717-9475
Provider Business Mailing Address Fax Number:
512-498-7535

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10815 RR 2222 BLDG 3C
Provider Second Line Business Practice Location Address:
STE. 101
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78730-1159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-717-9475
Provider Business Practice Location Address Fax Number:
512-498-7535
Provider Enumeration Date:
01/12/2017

Additional Information

Authorized Official

Authorized Official Last Name:
ROSENBERGER
Authorized Official First Name:
ERIC
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
512-717-9475

Provider Taxonomy Codes

  • Taxonomy code: 208200000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2082S0099X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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