NPI 1881629103

Michael a Bogdan, MDFACS

Practitioner 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

Registered specialties

Plastic Surgery Physician Primary

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

Other Plastic Surgery providers in Texas →

Registry record

NPI: 1881629103
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2006
Record last updated: 13 Jan 2020

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.