Southard, Michelle Martin

Southard, Michelle Martin is an individual health care provider with primary practice located at 800 8Th Ave Ste 116 , Fort Worth TX 76104-2606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Southard, Michelle Martin can be contacted via phone (817) 335-6363.

Contact Information

Primary practice address
800 8Th Ave Ste 116 Fort Worth TX 76104-2606
Phone: (817) 335-6363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 5101020787 Michigan
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X P4783 Texas
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 5101020787 Michigan
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X P4783 Texas

Profile Details

NPI number 1992045090
LBN Legal business name Southard, Michelle Martin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2013
Last updated Jun 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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