Healthcare Provider Details

I. General information

NPI: 1891013694
Provider Name (Legal Business Name): ROCCO C PIAZZA MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 05/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 FM 1826 BUILDING 2, SUITE 206
AUSTIN TX
78737-1407
US

IV. Provider business mailing address

7900 FM 1826 BUILDING 2, SUITE 206
AUSTIN TX
78737-1407
US

V. Phone/Fax

Practice location:
  • Phone: 512-288-8200
  • Fax: 512-288-8207
Mailing address:
  • Phone: 512-288-8200
  • Fax: 512-288-8207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ROCCO C PIAZZA
Title or Position: PRESIDENT
Credential: MD
Phone: 512-288-8200