DR. Michelle Martin Southard, DO is a plastic and reconstructive surgery surgery in Fort Worth, TX with 16 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Michelle Martin Southard, DO NPI is 1992045090. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduation Year:2008
The provider's business location address is:
800 8TH AVE STE 116
FORT WORTH, TX
ZIP 76104-606
Phone: (817) 335-6363
The NPI 1992045090 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/26/2013 and was last updated on 6/21/2023.