TEXAS SURGICARE LP
NPI 1639397326
Surgery in Fort Worth, TX

Q: What is Fort Worth Plastic Surgery Center's NPI number?

The NPI number for Fort Worth Plastic Surgery Center is 1639397326. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Texas Surgicare LP.

Q: What is Fort Worth Plastic Surgery Center's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 20, 2007CLIA 45D2281553 · Waiver

800 12TH AVE STE 100, FORT WORTH, TX 76104(817) 810-0600(817) 348-8951 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Texas Surgicare Lp NPPES

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

TEXAS SURGICARE LP (NPI 1639397326) is a healthcare organization registered as a surgery in Fort Worth, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Sheri Humphreys, Bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1639397326

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameFORT WORTH PLASTIC SURGERY CENTER

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

Mailing Address800 12th Ave Ste 100Fort Worth, TX 76104-2519 · (817) 810-0600 · Fax (817) 348-8951

Phone(817) 810-0600

Fax(817) 348-8951

Organization SubpartNo

Authorized OfficialSheri HumphreysBookkeeper · (817) 810-0600

Enumeration DateApril 20, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1639397326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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

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Other Names 1

Doing Business AsTexas Surgicare Lp

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2281553

Fort Worth Plastic Surgery Center · Fort Worth, TX

Active · expires May 8, 2027

CLIA Number45D2281553

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 9, 2025

Certificate Expiration DateMay 8, 2027

Laboratory DirectorMark Anthony Daniels

Laboratory Phone(281) 731-3783

Laboratory LocationFort Worth Plastic Surgery Center800 12th Ave Suite 300, Fort Worth, TX 76104

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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