Tjelmeland Plastic Surgery, P. A.
Plastic Surgery in Austin, TX. Organization (NPI-2).
NPI number1710071832
StatusActive
Last updated in NPPESMay 22, 2008
Details
- NPI
- 1710071832
- Entity type
- Organization (NPI-2)
- Legal business name
- Tjelmeland Plastic Surgery, P. A.
- Organization subpart
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- May 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | J7860 | TX | Yes |
Other names
- Kelly E. Tjelmeland M. D. (Doing Business As)
Practice location
4220 Bull Creek RdAustin, TX 78731-6026
Phone 512-617-7500
Mailing address
4220 Bull Creek RdAustin, TX 78731-6026
Authorized official
Kelly E Tjelmeland
Owner
5126177500
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