RESILIENT PLASTIC SURGERY PLLC NPI 1932807682

NPI Information

  • NPI: 1932807682
  • Provider Name: RESILIENT PLASTIC SURGERY, PLLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • CLIA Number: 45D2292202
  • Address: 800 8TH AVE STE 116
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 335-6363

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NPI Details

RESILIENT PLASTIC SURGERY, PLLC is a plastic and reconstructive surgery surgery in Fort Worth, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. RESILIENT PLASTIC SURGERY, PLLC NPI is 1932807682. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

800 8TH AVE STE 116
FORT WORTH, TX
ZIP 76104-606
Phone: (817) 335-6363

The provider's authorized official is Michelle Martin Southard .
The authorized official title is Plastic & Reconstructive Surgeon and has the following contact phone number (817) 335-6363.

The CLIA number assigned to this NPI record is 45D2292202 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2023 and was last updated on 6/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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