Individual provider · Type 1 NPI

Thanapoom Boonipat

Plastic Surgery Physician · Fort Worth, TX

NPI number 1154852705 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

PO Box 732973
Dallas, TX 75373-2973

Other practice locations

  • 525 Oak Centre Dr Ste 260, San Antonio, TX 78258-3945 · (603) 731-6888
  • 12505 Quaker Ave Ste A, Lubbock, TX 79424-7743 · (603) 731-6888

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000X28451 (MN)
Plastic Surgery Physician 208200000X64276 (MN)
Plastic Surgery Physician Primary 208200000XU9214 (TX)

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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About NPI 1154852705

Thanapoom Boonipat's National Provider Identifier is 1154852705, issued on Mar 24, 2017. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 20, 2024.