person
Dr. David M. Lavine, MD
Plastic and Reconstructive Surgery Physician in Fort Worth, Texas
NPI 1407816408

David M. Lavine is a Plastic and Reconstructive Surgery Physician based in Fort Worth, TX and is specialized in Plastic and Reconstructive Surgery. David M. Lavine practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for David M. Lavine is 1407816408 and holds a License No. E0082 (Texas).

The current practice location address for David M. Lavine is 800 8Th Ave, Fort Worth, TX and can be reached out via phone at 817-335-6457 and via fax at 817-334-0491.

Location: 800 8Th Ave, Fort Worth, TX, 76104-2619
person
Provider Profile Details
NPI Number
1407816408
Provider Name
David M. Lavine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 8Th Ave, Fort Worth, TX, 76104-2619
Phone Number
817-335-6457
Fax Number
817-334-0491
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4019441 01 TX AETNA
00N791 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
800 8Th Ave
City
State
Zip
76104-2619
Phone Number
817-335-6457
Fax Number
817-334-0491
person
Provider Business Mailing Address Details
Address
800 8Th Ave
City
State
Zip
76104-2619
Phone Number
817-335-6457
Fax Number
817-334-0491
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
E0082 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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