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Southlake Plastic Surgery
Plastic Surgery Physician in Southlake, Texas
NPI 1255519344

Southlake Plastic Surgery is a Plastic Surgery Physician based in Southlake, TX. Southlake Plastic Surgery practices in Southlake, TX. The NPI Number for Southlake Plastic Surgery is 1255519344 and holds a License No. J4330 (Texas).

The current practice location address for Southlake Plastic Surgery is 900 E Southlake Blvd, Southlake, TX and can be reached out via phone at 817-442-8900 and via fax at 817-488-2490.

Location: 900 E Southlake Blvd, Southlake, TX, 76092-6375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255519344
Provider Name
Southlake Plastic Surgery
Credential
Provider Entity Type
Organization
Address
900 E Southlake Blvd, Southlake, TX, 76092-6375
Phone Number
817-442-8900
Fax Number
817-488-2490
Provider Enumeration Date
01/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0037EM 01 TX BCBSTX GRP NUMBER
institution
Provider Business Practice Location Address Details
Address
900 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6375
Phone Number
817-442-8900
Fax Number
817-488-2490
person
Provider Business Mailing Address Details
Address
900 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6375
Phone Number
817-442-8900
Fax Number
817-488-2490
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
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Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
J4330 (Texas)
Definition
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 both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
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