CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY NPI 1528049855

NPI Information

NPI: 1528049855
Provider Name: CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY

Doing Business As: CAREOS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3705 MEDICAL PKWY
SUITE 120
AUSTIN, TX
ZIP 78705
Phone: (512) 458-4391
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CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY is an ambulatory surgical clinic center in Austin, TX. CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY NPI is 1528049855. The provider is registered as an organization entity type.
The provider Is Doing Business As Careos.

The provider's business location address is:

3705 MEDICAL PKWY
SUITE 120
AUSTIN, TX
ZIP 78705-019
Phone: (512) 458-4391
Fax: (512) 458-5933

The provider's authorized official is Sean Matthew Bladyon .
The authorized official title is Medical Director and has the following contact phone number (512) 458-2141.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 7/29/2013.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	000352	TEXAS	Yes

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
1	451211	MEDICARE PIN	TEXAS
2	085968801	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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