Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Surgery Center of Fort Worth

Organization Plastic Surgery Physician · NPI 1982349080

Modern Surgery Center of Fort Worth is a Plastic Surgery Physician in Fort Worth, Texas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3416 Lovell Ave
Fort Worth, TX 76107-5718
Phone: (817) 228-4315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1982349080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cortni Campbell — Director · (940) 389-6207
NPI enumeratedMay 3, 2022
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022
Mailing address3455 Locke Ave Ste 320, Fort Worth, TX 76107-5747

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