Individual provider · Type 1 NPI
Lindsey Hope Tavakolian, MD
Plastic and Reconstructive Surgery Physician · Southlake, TX
NPI number
1669904173
Active
Practice location
521 W Southlake Blvd Ste 175
Southlake, TX 76092-6175
Mailing address
800 8th Ave Ste 400
Fort Worth, TX 76104-2613
Other practice locations
- 800 8th Ave Ste 400, Fort Worth, TX 76104-2613 · (817) 820-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | U0204 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | U0204 (TX) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Another provider at this address
Other plastic and reconstructive surgery physician providers in Southlake
About NPI 1669904173
Lindsey Hope Tavakolian, MD's National Provider Identifier is 1669904173, issued on Apr 3, 2017. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Southlake, TX. The record was last updated on Aug 5, 2025.