WESTSIDE PLASTIC SURGERY, PLLC
NPI 1730893645
Plastic Surgery in Fort Worth, TX

Q: What is Westside Plastic Surgery, PLLC's NPI number?

The NPI number for Westside Plastic Surgery, PLLC is 1730893645. It was assigned to this organization in the NPPES registry on January 6, 2023.

Q: What is Westside Plastic Surgery, PLLC's specialty?

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

Active since January 06, 2023

3416 LOVELL AVE STE 110, FORT WORTH, TX 76107(817) 961-1950(817) 887-3105 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Westside Plastic Surgery, Pllc NPPES

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

WESTSIDE PLASTIC SURGERY, PLLC (NPI 1730893645) is a healthcare organization registered as a plastic surgery in Fort Worth, Texas and active in the NPI registry since January 2023. The organization lists Dolores Wallace, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1730893645

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameWESTSIDE PLASTIC SURGERY, PLLC

Location Address3416 LOVELL AVE STE 110Fort Worth, TX 76107-5718

Mailing Address3416 Lovell Ave Ste 110Fort Worth, TX 76107-5718 · (817) 961-1950 · Fax (817) 887-3105

Phone(817) 961-1950

Fax(817) 887-3105

Organization SubpartNo

Authorized OfficialDolores WallaceOffice Manager · (817) 961-1950

Enumeration DateJanuary 6, 2023

NPPES CertifiedJanuary 6, 2023

✔ NPI 1730893645 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.

3416 LOVELL AVE STE 110, Fort Worth, TX 76107

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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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Westside Plastic Surgery, PLLC's NPI number?

The NPI number for Westside Plastic Surgery, PLLC is 1730893645. It was assigned to this organization in the NPPES registry on January 6, 2023.

Where is Westside Plastic Surgery, PLLC located?

Westside Plastic Surgery, PLLC is located at 3416 Lovell Ave Ste 110, Fort Worth, TX 76107. The listed phone number is (817) 961-1950.

What is Westside Plastic Surgery, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Westside Plastic Surgery, PLLC was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.