Mp Plastic Surgery Pllc

LBN: Mp Plastic Surgery Pllc
Mp Plastic Surgery Pllc is an health care organization with primary practice located at 800 8Th Ave Ste 206 , Fort Worth TX 76104-2619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Mp Plastic Surgery Pllc can be contacted via phone (817) 529-9199, or through Pekarev, Maxim via phone (817) 529-9199.

Contact Information

Primary practice address
800 8Th Ave Ste 206 Fort Worth TX 76104-2619
Phone: (817) 529-9199
Fax: (817) 334-0491
Website:
Map and Directions
Authorized official contact:
Name: Pekarev, Maxim Doctor of Medicine (MD)
Phone: (817) 529-9199

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X P5223 Texas

Profile Details

NPI number 1275922734
LBN Legal business name Mp Plastic Surgery Pllc
DBA Doing business as
Authorized official Pekarev, Maxim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2015
Last updated Oct 11th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275922734 NPPES
Texas MEDICAID 328016601

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