Organization · Type 2 NPI

Southlake Plastic Surgery

Plastic Surgery Physician · Southlake, TX

NPI number 1255519344 Active

Practice location

900 E Southlake Blvd, Ste 100
Southlake, TX 76092-6375

Call (817) 442-8900 Map

Fax (817) 488-2490

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XJ4330 (TX)
Plastic Surgery Physician Primary 208200000XNone 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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About NPI 1255519344

Southlake Plastic Surgery's National Provider Identifier is 1255519344, issued on Jan 31, 2008. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Southlake, TX. The record was last updated on Jan 31, 2008.