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Organization
DUSTIN L. REID, MD PA
Active
Organization
DUSTIN L. REID, MD PA
Active
Other names
Restora Austin Plastic Surgery Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN L REID MD (OWNER)
(512) 371-8817
Entity
Organization
Contact information
Practice address
901 W. 38TH ST.,, SUITE 401, AUSTIN, TX 78705-1162
(512) 371-8817
(512) 371-8819
Mailing address
901 W. 38TH ST., SUITE 401, AUSTIN, TX 78705-1162
(512) 371-8817
(512) 371-8819
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
M1314
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M1314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093782062
INDIVIDUAL NPI DR. DUSTIN
TX
01
—
1124048343
NPI DR. ASHLEY GORDON
TX
05
—
176043101
—
TX
Enumeration date
04/04/2007
Last updated
01/25/2010
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