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

Mp Plastic Surgery PLLC

Organization Plastic Surgery Physician · NPI 1275922734

Mp Plastic Surgery PLLC is a Plastic Surgery Physician 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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