Organization Active NPI

Mamd Plastic Surgery PLLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • West Lake Hills, TX
National Provider Identifier
1124970603
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
MAMD PLASTIC SURGERY PLLC
Practice address
4701 Bee Caves Rd Ste 106
West Lake Hills, TX 78746-5366
Phone
(514) 543-1000
Fax
(512) 581-9492
NPI assigned
Feb 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcelo B Antunes, MDNPI 1871791558
Title
Owner
Phone
(512) 543-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X Primary

Addresses

Primary practice location

4701 Bee Caves Rd Ste 106
West Lake Hills, TX 78746-5366

Mailing address

4701 Bee Caves Rd Ste 106
West Lake Hills, TX 78746-5366
Phone (514) 543-1000

Other names 1

  • Face Austin Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260422002630 TX Part B Supplier - Clinic/Group Practice 7719454198 Receives reassigned benefits from 1 practitioner
Practice locations: West Lake Hills, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1124970603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVES RD STE 106",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "514-543-1000",
            "fax_number": "512-581-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BEE CAVES RD STE 106",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465366",
            "telephone_number": "514-543-1000",
            "fax_number": "512-581-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMD PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "ANTUNES",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-543-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Face Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.