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

Michael A. Bogdan, MD, PLLC

Organization Plastic Surgery Physician · NPI 1831335702

Michael A. Bogdan, MD, PLLC is a Plastic Surgery Physician in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
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

410 N Carroll Ave Ste 170
Southlake, TX 76092-6455
Phone: (817) 442-1236
Fax: (817) 442-1247
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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 · Licence M6055 (TX)

Record details

NPI number1831335702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bogdan — President · (817) 442-1236
NPI enumeratedDecember 26, 2008
Last updated in NPPESDecember 26, 2008
Mailing address410 N Carroll Ave, Suite 170, Southlake, TX 76092-6455

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