Organization · Type 2 NPI

Dermatology and Plastic Surgery Specialists PLLC

Plastic Surgery Physician · Southlake, TX

NPI number 1043096365 Active

Practice location

245 W State Highway 114 Suite 100
Southlake, TX 76092

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	None listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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NPI record

NPI: 1043096365
Entity type: Organization (Type 2)
Issued: Sep 1, 2023
Last updated: Sep 1, 2023
Status: Active
Subpart: Yes of Dermatology and Plastic Surgery Specialists PLLC

Other names

Plastic Surgery Specialists · doing business as

Authorized official

Jason Kyle Potter, MD
Physician
(214) 930-6588

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About NPI 1043096365

Dermatology and Plastic Surgery Specialists PLLC's National Provider Identifier is 1043096365, issued on Sep 1, 2023. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Southlake, TX. The record was last updated on Sep 1, 2023.