WEST MAGNOLIA PLASTIC SURGERY PA
NPI 1487184792
Plastic Surgery in Fort Worth, TX

Active since June 19, 2017CLIA 45D2010396 · Waiver
1200 W MAGNOLIA AVE STE 110, FORT WORTH, TX 76104(817) 870-4833(817) 870-4893 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 19, 2017 (2 updates tracked since 2017).

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About West Magnolia Plastic Surgery Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST MAGNOLIA PLASTIC SURGERY PA (NPI 1487184792) is a plastic surgery in Fort Worth, Texas and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through July 26, 2026 and lists Emily B Mclaughlin, Owner, as its authorized official.Information from the official NPPES registry record, last updated July 21, 2022.

NPPES Registry Identity

NPI1487184792
Entity TypeOrganization
Legal Business NameWEST MAGNOLIA PLASTIC SURGERY PA
Location Address1200 W MAGNOLIA AVE STE 110Fort Worth, TX 76104-4488
Mailing Address1200 W Magnolia Ave Ste 110Fort Worth, TX 76104-4488 · (817) 870-4833 · Fax (817) 870-4893
Fax(817) 870-4893
Organization SubpartNo
Authorized OfficialEmily B MclaughlinOwner · (817) 870-4833
Enumeration DateJune 19, 2017
Last NPPES UpdateJuly 21, 2022
NPI 1487184792 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Plastic Surgery

Taxonomy 208200000X · Allopathic & Osteopathic Physicians

Licensed in TX · 7481

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial… Show more

1200 W MAGNOLIA AVE STE 110, Fort Worth, TX 76104

Also on File with NPPES

Other Identifiers1
W0130911 (Other, TX, Dps)
Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)
Last updated in NPPES on July 21, 2022 · 2 updates tracked since enumeration.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2010396
Facility Type
Physician Office
Certificate Effective Date
July 27, 2024
Certificate Expiration Date
July 26, 2026
Laboratory Director
EMILY B. MCLAUGHLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to West Magnolia Plastic Surgery Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487184792, enumerated as an "organization" on June 19, 2017.

The provider is located at 1200 W MAGNOLIA AVE STE 110 FORT WORTH, TX 76104 and the phone number is (817) 870-4833.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.