Cosmetic Surgery Of Dfw Pllc

LBN: Cosmetic Surgery Of Dfw Pllc
Cosmetic Surgery Of Dfw Pllc is an health care organization with primary practice located at 800 12Th Ave Ste 100 , Fort Worth TX 76104-2519. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Cosmetic Surgery Of Dfw Pllc can be contacted via phone (817) 529-4314, or through Derrick, Dustin via phone (817) 529-4314.

Contact Information

Primary practice address
800 12Th Ave Ste 100 Fort Worth TX 76104-2519
Phone: (817) 529-4314
Fax: (844) 210-1095
Website:
Map and Directions
Authorized official contact:
Name: Derrick, Dustin Doctor of Medicine (MD)
Phone: (817) 529-4314

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1497337471
LBN Legal business name Cosmetic Surgery Of Dfw Pllc
DBA Doing business as
Authorized official Derrick, Dustin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2021
Last updated Apr 28th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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