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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHELLE MARTIN SOUTHARD, DO

Active

DR. MICHELLE MARTIN SOUTHARD, DO is a Plastic and Reconstructive Surgery healthcare provider located in FORT WORTH, Texas. NPI 1992045090 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · FORT WORTH, TX

Registration Details

NPI Number
1992045090
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2013 (13.494310681883 yrs)
Last Updated
Jun 21, 2023
Licenses
5101020787 (MI)
P4783 (TX)
5101020787 (MI)
P4783 (TX)

Practice Information

Address
800 8TH AVE STE 116
FORT WORTH, TX, 761042606
Browse TX providers · Browse ZIP 76104
Phone
8173356363
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X
Additional Specialty
Plastic Surgery

Other Plastic and Reconstructive Surgery Providers in FORT WORTH, TX

Name Credential NPI
DR. DAVID M. LAVINE M.D. 1407816408
NABIL ANTON HABASH MD 1720020878
ROBERT G ANDERSON MD 1326064270
RAYMOND A FAIRES MD 1306863998
EMILY B MCLAUGHLIN MD 1134134406
CANDIS M LOVELACE M.D. 1811037245
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.