Provider Demographics
NPI:1932645058
Name:FACIAL FOCUS COSMETIC SURGERY PLLC
Entity Type:Organization
Organization Name:FACIAL FOCUS COSMETIC SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-717-9475
Mailing Address - Street 1:10815 RR 2222 BLDG 3C
Mailing Address - Street 2:STE. 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1159
Mailing Address - Country:US
Mailing Address - Phone:512-717-9475
Mailing Address - Fax:512-498-7535
Practice Address - Street 1:10815 RR 2222 BLDG 3C
Practice Address - Street 2:STE. 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-1159
Practice Address - Country:US
Practice Address - Phone:512-717-9475
Practice Address - Fax:512-498-7535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208200000X, 2082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty