| Dr Tosanwumi Ehanire, | |
|
10815 Ranch To Market Rd 2222 Bldg 3c, Suite 101, Austin, TX 78730 | |
| (512) 256-9846 | |
| (512) 881-1678 |
| Full Name | Dr Tosanwumi Ehanire |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 12 Years |
| Location | 10815 Ranch To Market Rd 2222 Bldg 3c, Austin, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538588819 | NPI | - | NPPES |
| T1691 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | T1691 (Texas) | Primary |
| 208600000X | Surgery | T1691 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St David's Medical Center | Austin, TX | Hospital |
| Baylor Scott & White Institute For Rehabilitation | Lakeway, TX | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aesthetic And Reconstructive Therapeutics Pllc | 5991091340 | 6 |
| Entity Name | Aesthetic and Reconstructive Therapeutics PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952786212 PECOS PAC ID: 5991091340 Enrollment ID: O20160910000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tosanwumi Ehanire, 5900 Balcones Dr # 28945, Austin, TX 78731-4257 Ph: (512) 256-9846 | Dr Tosanwumi Ehanire, 10815 Ranch To Market Rd 2222 Bldg 3c, Suite 101, Austin, TX 78730 Ph: (512) 256-9846 |
Julie Mckenzie Sprunt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 W 38th St Ste 300, Austin, TX 78705 Phone: 512-421-4100 Fax: 512-419-0924 |
Kevin P O'farrell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6811 Austin Center Blvd # 300, Austin, TX 78731 Phone: 512-344-0368 Fax: 512-344-0335 |
Mark Raymond Lindsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3901 Medical Pkwy, Suite 200, Austin, TX 78756 Phone: 512-467-7151 Fax: 512-467-8809 |
Jose L Bravo, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 313 E 12th St Ste 100, Austin, TX 78701 Phone: 512-324-8960 Fax: 512-324-8962 |
Kaylyn Barrett, Surgery Medicare: Medicare Enrolled Practice Location: 1501 Red River St Fl 2, Austin, TX 78712 Phone: 512-495-5555 |
Nathaniel Evans, MD Surgery Medicare: Medicare Enrolled Practice Location: 1501 Red River St Fl 2, Austin, TX 78712 Phone: 512-495-5555 |
Charlie P Ross, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2911 Medical Arts St, Bldg 2 Attn: Austin Surgical Clinic Assn, Austin, TX 78705 Phone: 512-478-3402 Fax: 512-478-7114 |