Organization
SURGICAL RENEWAL & AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANTHONY BERRY M.D. (PRESIDENT)
(512) 535-5554
Entity
Organization
Contact information
Practice address
1900 CYPRESS CREEK RD, SUITE 100, CEDAR PARK, TX 78613-3513
(512) 535-5554
(512) 454-5252
Mailing address
1900 CYPRESS CREEK RD, SUITE 100, CEDAR PARK, TX 78613-3513
(512) 535-5554
(512) 454-5252
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
N1552
TX
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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