Organization
BUCKINGHAM CENTER FOR FACIAL PLASTIC SURGERY PA
Active
Other names
Buckingham Facial Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD DEAN BUCKINGHAM MD (PRESIDENT)
(512) 401-2500
Entity
Organization
Contact information
Practice address
2745 BEE CAVES RD, SUITE 101, AUSTIN, TX 78746
(512) 401-2500
(512) 401-2501
Mailing address
2745 BEE CAVES RD, SUITE 101, AUSTIN, TX 78746-5640
(512) 401-2500
(512) 401-2501
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
K5468
TX
207YS0123X
Facial Plastic Surgery Physician
K5468
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
K5468
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
K5468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003NL
BCBS OF TEXAS GROUP #
TX
05
—
170520401
—
TX
Enumeration date
01/27/2006
Last updated
05/21/2018
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