COSMETIC SURGERY OF DFW PLLC – NPI #1497337471
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

COSMETIC SURGERY OF DFW PLLC is a plastic surgeon located in FORT WORTH, TX. NPPES has assigned the NPI number 1497337471 to COSMETIC SURGERY OF DFW PLLC on April 28, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COSMETIC SURGERY OF DFW PLLC below.

NPI Profile for
COSMETIC SURGERY OF DFW PLLC

NPI Number
1497337471
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COSMETIC SURGERY OF DFW PLLC
Primary location
800 12TH AVE STE 100
FORT WORTH, TX 76104-2519
Phone: (817) 529-4314 Fax: (844) 210-1095
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DUSTIN DERRICK
OWNER
Phone: (817) 529-4314
Updated
Certification Date
Apr 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.