CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY
Ambulatory Health at Medical Pkwy, Austin, TX

License number
Texas 000352
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. SEAN MATTHEW BLADYON M.D.
Title: MEDICAL DIRECTOR
Phone: (512) 458-2141
Address
Address
3705 Medical Pkwy SUITE 120, Austin, TX 78705
National Provider ID: 1528049855
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND ORBITAL SURGERY at bizstanding.com

CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID AND

3705 Medical Pkwy STE 120, Austin, TX 78705

Status:
Inactive
Doing business as:
Center for Aesthetic and Reconstructive Eyelid and Orbital Surgery, L.L.P<br>Center for Aesthetic and Reconstructive Eyelid and Orbital Surgery, LLC
Registration:
Nov 13, 1996
State ID:
0702184422
Business type:
Domestic Limited Liability Partnership (LLP)
, MMs:
John W. Shore , MM, inactive,Russell Neuhaus , MM, inactive
Agent:
Russell M Neuhaus M D,3705 Medical Pkwy SUITE 370, Austin, TX 78705 (Physical)
TIN:
32036940651

Ambulatory Health licenses in Texas










Other Doctors licenses in Texas