MICHELLE MARTIN SOUTHARD

FORT WORTH, TX
NPI1992045090
Former NameABBE MICHELLE MARTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery Plastic and Reconstructive Surgery
(Licence: TX  P4783)
Additional Taxonomies208200000X Plastic Surgery
(Licence: MI  5101020787)
208200000X Plastic Surgery
(Licence: TX  P4783)
2086S0122X Surgery Plastic and Reconstructive Surgery
(Licence: MI  5101020787)
Enumeration Date2013-02-26
Last Update Date2023-06-21
Business Address
DR. MICHELLE MARTIN SOUTHARD DO
800 8TH AVE STE 116
FORT WORTH, TX 76104-2606
Phone number: 817-335-6363
Mailing Address
DR. MICHELLE MARTIN SOUTHARD DO
800 8TH AVE STE 116
FORT WORTH, TX 76104-2606
Phone number: 817-335-6363