Vista Plastic Surgery

LBN: Vista Plastic Surgery
Vista Plastic Surgery is an health care organization with primary practice located at 4701 Bee Cave Rd Ste 202, Austin TX 78746-5366. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Vista Plastic Surgery can be contacted via phone (512) 755-8478, or through Booth, Justin Henry via phone (512) 755-8478.

Contact Information

Primary practice address
4701 Bee Cave Rd Ste 202 Austin TX 78746-5366
Fax: (512) 572-8484
Website:
Authorized official contact:
Name: Booth, Justin Henry Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1356982870
LBN Legal business name Vista Plastic Surgery
DBA Doing business as
Authorized official Booth, Justin Henry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2019
Last updated Jun 12th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356982870 NPPES
Other 1447570916 NPI

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