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1619030418

NPI Code Detail

MEDICARE: GALEN SAMUEL WACHTMAN MD

MEDICARE: GALEN SAMUEL WACHTMAN MD

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	208200000X	Plastic Surgery Physician	MT184053	PA
2	208200000X	Plastic Surgery Physician	P6546	TX
3	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	P6546	TX
4	2086S0122X	Plastic and Reconstructive Surgery Physician	P6546	TX

General Provider Information

NPI Number	:	1619030418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GALEN SAMUEL WACHTMAN MD

Provider Business Mailing Address
First Line	:	1601 TRINITY ST, STE 704-D
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78712
Country	:	US
Telephone Number	:	512-815-0123
Fax Number	:	512-861-6206

Provider Business Practice Location Address
First Line	:	1601 TRINITY ST, STE 704-D
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78712
Country	:	US
Telephone Number	:	512-324-8320
Fax Number	:	512-324-8323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	02/22/2026

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Directions to “ GALEN SAMUEL WACHTMAN MD” Practice Location

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