NPI 1043096365

Dermatology and Plastic Surgery Specialists PLLC

Organisation Plastic Surgery Physician Southlake, TX

Practice location

Address: 245 W State Highway 114 Suite 100, Southlake, TX 76092
Phone: (817) 912-1200

Authorised official

Name: Jason Kyle Potter
Title: Physician
Phone: (214) 930-6588

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Texas →

Registry record

NPI: 1043096365
Entity type: Organization
NPI issued: 1 Sep 2023
Record last updated: 1 Sep 2023

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.