MAMD PLASTIC SURGERY PLLC – NPI #1124970603
Otolaryngology

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Health Care Provider Taxonomy Code for Otolaryngology

MAMD PLASTIC SURGERY PLLC is an otolaryngologist located in WEST LAKE HILLS, TX. NPPES has assigned the NPI number 1124970603 to MAMD PLASTIC SURGERY PLLC on February 09, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0007X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Plastic Surgery within the Head & Neck

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAMD PLASTIC SURGERY PLLC below.

NPI Profile for
MAMD PLASTIC SURGERY PLLC

NPI Number
1124970603
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAMD PLASTIC SURGERY PLLC
Primary location
4701 BEE CAVES RD STE 106
WEST LAKE HILLS, TX 78746-5366
Phone: (514) 543-1000 Fax: (512) 581-9492
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARCELO ANTUNES
OWNER
Phone: (512) 543-1000
Updated
Certification Date
Feb 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0007X
- Otolaryngology / Plastic Surgery within the Head & Neck (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.