Healthcare Provider Details

I. General information

NPI: 1750206587
Provider Name (Legal Business Name): SEAN ARREDONDO MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 NE REVERE AVE STE 100
BEND OR
97701-4189
US

IV. Provider business mailing address

12411 LONE MOUNTAIN PASS
LEANDER TX
78641-3826
US

V. Phone/Fax

Practice location:
  • Phone: 541-312-3223
  • Fax: 541-330-2499
Mailing address:
  • Phone: 512-650-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SEAN ARREDONDO
Title or Position: MANAGER
Credential: MD
Phone: 210-365-2325