Michael A. Bogdan, Md, Pllc

NPI #1831335702 in Southlake, Texas

Provider Information

NPI Number: 1831335702
Entity Type: Organization
Organization Name: Michael A. Bogdan, Md, Pllc
Primary Specialty: Plastic Surgery
Enumeration Date: Dec 26, 2008
Last Updated: Dec 26, 2008

Practice Location

Address: 410 N CARROLL AVE
Address 2: SUITE 170
City: Southlake
State: Texas
ZIP Code: 76092-6455
Phone: (817) 442-1236

Authorized Official

Name: DR. MICHAEL ANDREW BOGDAN, M.D.
Title: PRESIDENT
Phone: (817) 442-1236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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