Westside Plastic Surgery, PLLC

Plastic Surgery Physician · Fort Worth, TX

Organization Active NPI

NPI number 1730893645

Practice location

3416 Lovell Ave Ste 110
Fort Worth, TX 76107-5718
Phone
(817) 961-1950
Fax
(817) 887-3105

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NPI record

NPI
1730893645
Entity type
Organization (Type 2)
Enumeration date
January 6, 2023
Last updated
January 6, 2023
Certified
January 6, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X — —

Authorized official

Name
Dolores Wallace
Title
Office Manager
Phone
(817) 961-1950

About Westside Plastic Surgery, PLLC

Westside 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 3416 Lovell Ave Ste 110, Fort Worth, TX 76107-5718. The NPI number 1730893645 was assigned on January 6, 2023 and the record was last updated on January 6, 2023.

The authorized official for this organization is Dolores Wallace, Office Manager.

Frequently asked questions

What is the NPI number of Westside Plastic Surgery, PLLC?

The NPI number is 1730893645.

What is the phone number of Westside Plastic Surgery, PLLC?

The phone number listed for the practice location is (817) 961-1950.

Where is Westside Plastic Surgery, PLLC located?

3416 Lovell Ave Ste 110, Fort Worth, TX 76107-5718.

What is the taxonomy code for Westside 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.

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