NPI age
2 years
Enumerated 2023-09-01
● Active Type 2 · Organization
Subpart
Dermatology And Plastic Surgery Specialists Pllc
Dermatology And Plastic Surgery Specialists Pllc is 1 of 618 plastic surgery organizations in Texas.
Primary specialty
Plastic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Potter
Physician
Last NPPES update
2023-09-01
Source: monthly bulk 2026-05
How this organization compares
Across 618 active plastic surgery providers in Texas.
NPI age
2 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
245 W State Highway 114 Suite 100
Southlake, TX 76092
Mailing address
245 W State Highway 114 Suite 100
Southlake, TX 76092
Authorized official
Jason Kyle Potter, MD
Physician
📞 2149306588
Specialties
-
Plastic Surgery PrimaryA plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Plastic Surgery Specialists
Practice context
Single-site organization. Only one practice location on file.
Subpart of Dermatology And Plastic Surgery Specialists Pllc.
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