Provider Demographics
NPI:1013404904
Name:STEELE PLASTIC SURGERY PLLC
Entity Type:Organization
Organization Name:STEELE PLASTIC SURGERY PLLC
Other - Org Name:MATTHEW H STEELE MD, COSMETIC AND RECONSTRUCTIVE PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:682-730-2891
Mailing Address - Street 1:6816 CLEAR SPRING DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-3751
Mailing Address - Country:US
Mailing Address - Phone:682-730-2891
Mailing Address - Fax:
Practice Address - Street 1:5656 EDWARDS RANCH ROAD
Practice Address - Street 2:SUITE 202
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109
Practice Address - Country:US
Practice Address - Phone:682-730-2891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-17
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP01412086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty