Individual
DR. TOSANWUMI EHANIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 SAN GABRIEL ST STE 100, AUSTIN, TX 78705-3548
(512) 815-0123
(512) 861-6206
Mailing address
2905 SAN GABRIEL ST STE 100, AUSTIN, TX 78705-3548
(512) 815-0123
(512) 861-6206
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
T1691
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
T1691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T1691
STATE LICENSE
TX
Enumeration date
04/15/2014
Last updated
02/22/2026
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