NPI 1013840008

Advanced Reconstructive Plastic Surgery PLLC

Organisation Plastic Surgery Physician Southlake, TX

Practice location

Address: 1900 E State Highway 114 STE 140, Southlake, TX 76092-6510
Phone: (469) 293-2533

Authorised official

Name: Ali Reza Abtahi
Title: Managing Member
Phone: (469) 293-2533

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Texas →

Registry record

NPI: 1013840008
Entity type: Organization
NPI issued: 8 Jun 2026
Record last updated: 8 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.