Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mp Plastic Surgery PLLC

Organization Plastic Surgery Physician · NPI 1275922734

Mp Plastic Surgery PLLC provides Plastic Surgery Physician services in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 8th Ave Ste 206
Fort Worth, TX 76104-2619
Phone: (817) 529-9199
Fax: (817) 334-0491
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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 · Licence P5223 (TX)

Record details

NPI number1275922734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maxim Pekarev — Physician/Owner · (817) 529-9199
NPI enumeratedJanuary 21, 2015
Last updated in NPPESOctober 11, 2023
Certification dateAugust 28, 2021
Mailing address800 8th Ave Ste 206, Fort Worth, TX 76104-2619

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