NPIMap

Organization Active NPI

Aesthetic and Reconstructive Therapeutics PLLC

Doing business as Austin Plastic & Reconstructive Surgery

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1952786212
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
P6546 Issued in TX
Legal business name
AESTHETIC AND RECONSTRUCTIVE THERAPEUTICS PLLC
Doing business as
Austin Plastic & Reconstructive Surgery
Practice address
2905 San Gabriel St Ste 100
Austin, TX 78705-3548
Phone
(512) 815-0123
Fax
(512) 763-4546
NPI assigned
Jul 28, 2015
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Christine Fisher, M.D.NPI 1265634935
Title
Owner
Phone
(512) 815-0123

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X
Plastic and Reconstructive Surgery Physician 2086S0122X P6546 TX Primary

Addresses

Primary practice location

2905 San Gabriel St Ste 100
Austin, TX 78705-3548

Mailing address

1101 W 34TH St # 304
Austin, TX 78705-1907
Phone (512) 815-0123

Other identifiers 1

IdentifierTypeStateIssuer
368659401MedicaidTX

Other names 1

  • Austin Plastic & Reconstructive Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160910000036 TX Part B Supplier - Clinic/Group Practice 5991091340 Receives reassigned benefits from 11 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2905 San Gabriel St
Ste 100
Austin, TX 78705
Phone (512) 815-0123

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1952786212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W 34TH ST # 304",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051907",
            "telephone_number": "512-815-0123",
            "fax_number": "512-861-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 SAN GABRIEL ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053548",
            "telephone_number": "512-815-0123",
            "fax_number": "512-763-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC AND RECONSTRUCTIVE THERAPEUTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-815-0123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P6546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368659401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Plastic & Reconstructive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 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.