Healthcare Provider Details

I. General information

NPI: 1295098168
Provider Name (Legal Business Name): SEAN DANIEL ARREDONDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2012
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10622 BURNET RD STE 100
AUSTIN TX
78758-4482
US

IV. Provider business mailing address

12411 LONE MOUNTAIN PASS
LEANDER TX
78641-3826
US

V. Phone/Fax

Practice location:
  • Phone: 512-334-9917
  • Fax: 512-294-4891
Mailing address:
  • Phone: 210-365-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD230996
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberR7650
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: