# BUCKINGHAM CENTER FOR FACIAL PLASTIC SURGERY PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Buckingham Facial Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770554800
- **Authorized official:** DR. EDWARD DEAN BUCKINGHAM MD (PRESIDENT)
- **Authorized official phone:** (512) 401-2500

## Contact information

- **Practice address:** 2745 BEE CAVES RD, SUITE 101, AUSTIN, TX 78746
- **Practice address phone:** (512) 401-2500
- **Practice address fax:** (512) 401-2501
- **Mailing address:** 2745 BEE CAVES RD, SUITE 101, AUSTIN, TX 78746-5640
- **Mailing address phone:** (512) 401-2500
- **Mailing address fax:** (512) 401-2501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | K5468 | TX | — |
| 207YS0123X | Facial Plastic Surgery Physician | K5468 | TX | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | K5468 | TX | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | K5468 | TX | — |

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 05/21/2018
