Basic Information
| Provider Information | |||||||||
| NPI: | 1386050094 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW U PLASTIC SURGERY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1015 E 32ND ST | ||||||||
| Address2: | STE. 205 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787052707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124782273 | ||||||||
| FaxNumber: | 5124720921 | ||||||||
| Practice Location | |||||||||
| Address1: | 1015 E 32ND ST | ||||||||
| Address2: | STE. 205 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787052707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124782273 | ||||||||
| FaxNumber: | 5124720921 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2014 | ||||||||
| LastUpdateDate: | 07/02/2014 | ||||||||
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| AuthorizedOfficialLastName: | HERRERA | ||||||||
| AuthorizedOfficialFirstName: | BECCA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 5124782273 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | COMPREHENSIVE PLASTIC SURGERY | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208200000X | L0373 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Plastic Surgery |
No ID Information.