Organization
ELYSIAN PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DELLINGER DO (OWNER)
(512) 229-1978
Entity
Organization
Contact information
Practice address
11623 ANGUS RD, SUITE C15, AUSTIN, TX 78759-4003
(512) 229-1978
(512) 402-5409
Mailing address
11623 ANGUS RD, SUITE C15, AUSTIN, TX 78759-4003
(512) 229-1978
(512) 402-5409
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
BD2335188
TX
Other
Enumeration date
03/08/2016
Last updated
11/14/2016
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