Healthcare Provider Details

I. General information

NPI: 1245145952
Provider Name (Legal Business Name): ALIGN PLASTIC SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 09/22/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10815 RANCH TO MARKET RD 2222 BLDG C3, STE 101
AUSTIN TX
78730
US

IV. Provider business mailing address

5900 BALCONES DR # 28945
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 512-256-9846
  • Fax: 512-881-1678
Mailing address:
  • Phone: 512-256-9846
  • Fax: 512-881-1678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TOSANWUMI EHANIRE
Title or Position: OWNER
Credential: MD
Phone: 512-256-9846