Organization Active NPI

Craniofacial Team of Texas Partners

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Austin, TX
National Provider Identifier
1659825602
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
M0454 Issued in TX
Legal business name
CRANIOFACIAL TEAM OF TEXAS PARTNERS
Practice address
11412 Bee Cave Road Ste 300
Austin, TX 78738
Phone
(512) 377-1142
Fax
(512) 377-1143
NPI assigned
Aug 8, 2016
Last updated
Nov 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Chelsea Combs, PA-C
Title
Clinical Director/Principal
Phone
(512) 377-1142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X M0454 TX Primary

Addresses

Primary practice location

11412 Bee Cave Road Ste 300
Austin, TX 78738

Mailing address

11412 Bee Cave Road Ste 300
Austin, TX 78738
Phone (512) 377-1142

National Provider Directory

National Provider Directory

Locations

11412 Bee Caves Rd
Ste 300
Austin, TX 78738
Phone (512) 377-1142

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1659825602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 BEE CAVE ROAD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-377-1142",
            "fax_number": "512-377-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 BEE CAVE ROAD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-377-1142",
            "fax_number": "512-377-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL TEAM OF TEXAS PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PRINCIPAL",
        "authorized_official_telephone_number": "512-377-1142",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "TX",
            "license": "M0454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.