Resilient Plastic Surgery, PLLC
NPI 1932807682ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Fort Worth, TX
Surgery, Plastic and Reconstructive Surgery in Fort Worth, Texas, registered in NPPES in February 2023. The authorized official on file is Michelle Martin Southard, DO, Plastic & Reconstructive Surgeon. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932807682 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2023 |
| Last updated in NPPES | Jun 21, 2023 |
| Certified by provider | Jun 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
| Plastic Surgery | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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