Plastic SurgeryIndex

Dermatology and Plastic Surgery Specialists PLLC

Plastic surgery practice in Southlake, TX

Registered provider

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Public-record details

Address
245 W State Highway 114 Suite 100, Southlake, TX 76092
Phone
(817) 912-1200
Listed under
Practices and organizations
NPI
1043096365
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Plastic Surgery (208200000X)
Authorized official
Jason Potter, MD, Physician
NPI first issued
Sep 1, 2023
NPI record last updated
Sep 1, 2023

NPI 1043096365 is active in the federal NPPES registry (CMS). Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-08.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1043096365 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Plastic Surgery, and ask whether the facility is accredited and who gives anesthesia.

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All 14 in Southlake →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-08 and may be incomplete or out of date. Plastic Surgery Index does not vet, employ, recommend or guarantee plastic surgery practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Plastic Surgery Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error