Organization
DEVENIR AESTHETICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY JUAREZ (OFFICE MANAGER)
(512) 477-3778
Entity
Organization
Contact information
Practice address
3807 SPICEWOOD SPRINGS RD, SUITE 201, AUSTIN, TX 78759-8965
(512) 477-3778
(512) 477-3626
Mailing address
3807 SPICEWOOD SPRINGS RD, #201, AUSTIN, TX 78759-8965
(512) 477-3778
(512) 477-3626
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040HW
BCBS GROUP
—
01
—
45D1003610
CLIA
—
Enumeration date
07/05/2006
Last updated
03/22/2018
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