NPI 1831335702

Michael A. Bogdan, MD, PLLC

Organisation Plastic Surgery Physician Southlake, TX

Practice location

Address: 410 N Carroll Ave Suite 170, Southlake, TX 76092-6455
Phone: (817) 442-1236
Fax: (817) 442-1247

Authorised official

Name: Michael Andrew Bogdan
Title: President
Phone: (817) 442-1236

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence M6055 (TX)

Other Plastic Surgery providers in Texas →

Registry record

NPI: 1831335702
Entity type: Organization
NPI issued: 26 Dec 2008
Record last updated: 26 Dec 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.