Prolixant Therapeutics LLC
Plastic Surgery in Austin, TX. Organization (NPI-2).
NPI number1063979482
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1063979482
- Entity type
- Organization (NPI-2)
- Legal business name
- Prolixant Therapeutics LLC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2019
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
| 163WW0000X | Registered Nurse, Wound Care | – | – | |
| 207N00000X | Dermatology | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 2082S0099X | Plastic Surgery, Plastic Surgery Within the Head and Neck | – | – | |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | |
| 208D00000X | General Practice | – | – | |
| 213E00000X | Podiatrist | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
6205b Burnet RdAustin, TX 78757-3227
Phone 512-772-1225 · Fax 512-772-1227
Mailing address
6205b Burnet RdAustin, TX 78757-3227
Phone 512-772-1225 · Fax 512-772-1227
Authorized official
Heather A Evans
President
5128048890
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