Individual
AUSTIN HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2016018407
MO
208200000X
Plastic Surgery Physician
T4374
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
T4374
TX
Other
Enumeration date
06/22/2016
Last updated
10/04/2022
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