MP Plastic Surgery PLLC

Plastic Surgery Physician · Fort Worth, TX

Organization Active NPI

NPI number 1275922734

Practice location

800 8TH Ave Ste 206
Fort Worth, TX 76104-2619
Phone
(817) 529-9199
Fax
(817) 334-0491

Open in Google Maps

NPI record

NPI
1275922734
Entity type
Organization (Type 2)
Enumeration date
January 21, 2015
Last updated
October 11, 2023
Certified
August 28, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X P5223 TX

Authorized official

Name
Mr. Maxim Pekarev, M.D.
Title
Physician/Owner
Phone
(817) 529-9199

About MP Plastic Surgery PLLC

MP Plastic Surgery PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 800 8TH Ave Ste 206, Fort Worth, TX 76104-2619. The NPI number 1275922734 was assigned on January 21, 2015 and the record was last updated on October 11, 2023.

MP Plastic Surgery PLLC lists a license in the registry: #P5223 (TX) for Plastic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Maxim Pekarev, M.D., Physician/Owner.

Frequently asked questions

What is the NPI number of MP Plastic Surgery PLLC?

The NPI number is 1275922734.

What is the phone number of MP Plastic Surgery PLLC?

The phone number listed for the practice location is (817) 529-9199.

Where is MP Plastic Surgery PLLC located?

800 8TH Ave Ste 206, Fort Worth, TX 76104-2619.

What is the taxonomy code for MP Plastic Surgery PLLC?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Plastic Surgery Physician providers in Fort Worth

All Plastic Surgery Physician providers in Fort Worth, TX →