NPI 1255519344

Southlake Plastic Surgery

Organisation Plastic Surgery Physician Southlake, TX

Practice location

Address: 900 E Southlake Blvd STE 100, Southlake, TX 76092-6375
Phone: (817) 442-8900
Fax: (817) 488-2490

Authorised official

Name: Mark E Mason
Title: Owner
Phone: (817) 442-8900

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Texas →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence J4330 (TX)

Other Oral & Maxillofacial Surgery providers in Texas →

Registry record

NPI: 1255519344
Entity type: Organization
NPI issued: 31 Jan 2008
Record last updated: 31 Jan 2008

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.