Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Reconstructive Plastic Surgery PLLC

Organization Plastic Surgery Physician · NPI 1013840008

Advanced Reconstructive Plastic Surgery PLLC is a Plastic Surgery Physician in Southlake, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 E State Highway 114 Ste 140
Southlake, TX 76092-6510
Phone: (469) 293-2533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1013840008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ali Abtahi — Managing Member · (469) 293-2533
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address1900 E State Highway 114 Ste 140, Southlake, TX 76092-6510

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