Kelly Eugene Tjelmeland in Austin - Plastic Surgery
Kelly Eugene Tjelmeland - NPI 1003900119
Kelly Eugene Tjelmeland is a Plastic Surgery in Austin, Texas. Kelly Eugene Tjelmeland practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Kelly Eugene Tjelmeland is 1003900119. The last update date is 2008-05-22.
Kelly Eugene Tjelmeland's current location address is 4220 Bull Creek Rd, Austin, Texas. You can contact this provider via phone number 5126177500. The mailing address for Kelly Eugene Tjelmeland is 4220 Bull Creek Rd, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Eugene Tjelmeland |
|---|---|
| Address | 4220 Bull Creek Rd, Austin, Texas |
| Phone Number | 5126177500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M D |
NPI Number Detail
| NPI Number | 1003900119 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 4220 Bull Creek Rd |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787316026 |
| Phone Number | 5126177500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | J7860 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110753404 | TX | -- | |
| 8AQ830 | TX | BCBS INDIVIDUAL NUMBER |
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What is the Kelly Eugene Tjelmeland's 1003900119?
The Kelly Eugene Tjelmeland's NPI (National Provider Identifier) Number is 1003900119. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kelly Eugene Tjelmeland's physical address?
The Kelly Eugene Tjelmeland is physically located at 4220 Bull Creek Rd, in the city of Austin, TX, with the postal code 787316026.
What is Kelly Eugene Tjelmeland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Eugene Tjelmeland's specialized field of practice is Plastic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208200000X.
On what date did the Kelly Eugene Tjelmeland receive its 1003900119 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Eugene Tjelmeland was assigned its 1003900119 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the information regarding Kelly Eugene Tjelmeland most recently updated?
The details pertaining to the Kelly Eugene Tjelmeland, including its address, specialty, and other relevant information, were last refreshed on 2008-05-22.
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