Southlake Plastic Surgery
Southlake Plastic Surgery is an Oral & Maxillofacial Surgery (D.M.D.) in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2008.
- Licensed in
- TX
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
900 E Southlake Blvd Ste 100Southlake, TX 76092-6375
Phone: (817) 442-8900
Fax: (817) 488-2490
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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 |
|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X · Licence J4330 (TX) |
Record details
| NPI number | 1255519344 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Mason — Owner · (817) 442-8900 |
| NPI enumerated | January 31, 2008 |
| Last updated in NPPES | January 31, 2008 |
| Mailing address | 900 E Southlake Blvd, Ste 100, Southlake, TX 76092-6375 |
Other providers in Southlake
-
Mark E Mason, MD
900 E Southlake Blvd Ste 100, Southlake, TX 76092-6375 · (817) 442-8900
-
Westlake Oral Surgery
311 W Southlake Blvd Ste 150, Southlake, TX 76092-6186 · (817) 424-1166