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

Individual provider Plastic Surgery Physician · NPI 1881629103

Michael A Bogdan, MD, FACS is a Plastic Surgery Physician in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

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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 number1881629103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACS
Sole proprietorYes
NPI enumeratedJuly 12, 2006
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

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