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Organization

RAPID RESTORE PLASTIC & RECONSTRUCTIVE TRAUMA SURGERY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALI REZA ABTAHI DO (MANAGING MEMBER)
(469) 293-2533
Entity
Organization

Contact information

Practice address
1900 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092-6510
(469) 293-2533
Mailing address
1900 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092-6510
(469) 293-2533

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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