IndividualActive
Arvind Manisundaram
NPI 1801282132 · Plastic and Reconstructive Surgery Physician · Southlake, TX
Provider details
- NPI number
- 1801282132
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
415 E Southlake Blvd Ste 101
Southlake, TX 76092-6279
Phone: (817) 416-8080
Fax: (817) 421-8327
Approximate (ZIP-level) locationGet directions
Mailing address
415 E Southlake Blvd Ste 101
Southlake, TX 76092-6279
Additional practice locations (1)
- 106 Bridgeview CirRidgeland, MS 39157-8601Phone: (601) 506-7113
Registry dates
- Enumerated
- 2015-04-14
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.