Organization · Type 2 NPI

Lifestyle Bariatrics and Vascular Health

Surgery Physician · Fort Worth, TX

NPI number 1053228130 Active

Practice location

9525 N Beach St Ste 405
Fort Worth, TX 76244-6438

Call (972) 342-5105 Map

Mailing address

812 Charleston Dr
Southlake, TX 76092-1534

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	None listed
Vascular Surgery Physician	2086S0129X	None listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

4 other providers at this address

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About NPI 1053228130

Lifestyle Bariatrics and Vascular Health's National Provider Identifier is 1053228130, issued on Aug 25, 2026. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 25, 2026.