MEDICARE: INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0105X	Surgery of the Hand (Surgery) Physician
2	2086S0122X	Plastic and Reconstructive Surgery Physician

General Provider Information

NPI Number	:	1548401417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS

Provider Business Mailing Address
First Line	:	1400 N IH 35 STE 320
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1926
Country	:	US
Telephone Number	:	512-324-8320
Fax Number	:	512-324-8323

Provider Business Practice Location Address
First Line	:	1400 N IH 35 STE 320
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1926
Country	:	US
Telephone Number	:	512-324-8320
Fax Number	:	512-324-8323

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. SANJAY SHARMA
Credential	:	MD
Telephone Number	:	512-324-8328

Provider Enumeration Date	:	03/23/2009
Last Update Date	:	11/17/2011

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Directions to “INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS ” Practice Location

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