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Dr. Michelle Martin Southard, DO
Plastic and Reconstructive Surgery Physician in Fort Worth, Texas
NPI 1992045090

Michelle Martin Southard is a Plastic and Reconstructive Surgery Physician based in Fort Worth, TX and is specialized in Plastic and Reconstructive Surgery. Michelle Martin Southard practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Michelle Martin Southard is 1992045090 and holds a License No. 5101020787 (Texas).

The current practice location address for Michelle Martin Southard is 800 8Th Ave Ste 116, Fort Worth, TX and can be reached out via phone at 817-335-6363.

Location: 800 8Th Ave Ste 116, Fort Worth, TX, 76104-2606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992045090
Provider Name
Michelle Martin Southard
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
800 8Th Ave Ste 116, Fort Worth, TX, 76104-2606
Phone Number
817-335-6363
Fax Number
Provider Enumeration Date
02/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 8Th Ave Ste 116
City
Fort Worth
State
Texas
Zip
76104-2606
Phone Number
817-335-6363
Fax Number
person
Provider Business Mailing Address Details
Address
800 8Th Ave Ste 116
City
Fort Worth
State
Texas
Zip
76104-2606
Phone Number
817-335-6363
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
P4783 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
5101020787 (Michigan)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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