COSMETIC SURGERY OF DFW PLLC
NPI 1497337471
Plastic Surgery in Fort Worth, TX

Q: What is Cosmetic Surgery Of Dfw PLLC's NPI number?

The NPI number for Cosmetic Surgery Of Dfw PLLC is 1497337471. It was assigned to this organization in the NPPES registry on April 28, 2021.

Q: What is Cosmetic Surgery Of Dfw PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since April 28, 2021

800 12TH AVE STE 100, FORT WORTH, TX 76104(817) 529-4314(844) 210-1095 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cosmetic Surgery Of Dfw Pllc NPPES

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

COSMETIC SURGERY OF DFW PLLC (NPI 1497337471) is a healthcare organization registered as a plastic surgery in Fort Worth, Texas and active in the NPI registry since April 2021. The organization lists Dustin Derrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1497337471

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameCOSMETIC SURGERY OF DFW PLLC

Location Address800 12TH AVE STE 100Fort Worth, TX 76104-2519

Mailing Address800 12th Ave Ste 100Fort Worth, TX 76104-2519 · (817) 529-4314 · Fax (844) 210-1095

Phone(817) 529-4314

Fax(844) 210-1095

Organization SubpartNo

Authorized OfficialDustin DerrickOwner · (817) 529-4314

Enumeration DateApril 28, 2021

NPPES CertifiedApril 28, 2021

✔ NPI 1497337471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

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.

800 12TH AVE STE 100, Fort Worth, TX 76104

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Group Practice 1

Group TaxonomyThis 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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DUSTIN CLIFTON DERRICK M.D.

Plastic Surgery