Organization
CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY
Active
Other names
CAREOS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN MATTHEW BLADYON M.D. (MEDICAL DIRECTOR)
(512) 458-2141
Entity
Organization
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 120, AUSTIN, TX 78705-1019
(512) 458-4391
(512) 458-5933
Mailing address
3705 MEDICAL PKWY, SUITE 120, AUSTIN, TX 78705-1019
(512) 458-4391
(512) 458-5933
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085968801
—
TX
Enumeration date
11/14/2005
Last updated
07/29/2013
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