SearchTexasPlastic and Reconstructive Surgery Physician

Brooks Kelly, MD

NPI 1770148066 · on the registry since 2019

Practice

Address
415 E Southlake Blvd Ste 101
Southlake, TX 76092
Phone
(817) 809-3155
Organisation at this address
Mediclinkmd One-P Llc
Virtuoso Surgery Center
Mediclink Management Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Plastic and Reconstructive Surgery Physician
2086S0122X
Also registered as
Plastic and Reconstructive Surgery Physician
Licence states on file
VA, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas