Individual
MICHAEL A BOGDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
410 N CARROLL AVE, SUITE 170, SOUTHLAKE, TX 76092-6455
(817) 442-1236
(817) 442-1247
Mailing address
410 N CARROLL AVE, SUITE 170, SOUTHLAKE, TX 76092-6455
(817) 442-1236
(817) 442-1247
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M6055
TX
Other
Enumeration date
07/12/2006
Last updated
01/13/2020
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