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

Surgicalist of Tx PLLC

Organization Surgery Physician · NPI 1972048510

Surgicalist of Tx PLLC is a Surgery Physician in Fort Worth, Texas. Registered with an NPI since 2017.

In the registry since
2017
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

909 9th Ave Ste 205
Fort Worth, TX 76104-3916
Phone: (972) 665-6501
Fax: (972) 866-4013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1972048510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mit Desai — Ceo · (813) 530-5043
NPI enumeratedJanuary 5, 2017
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022
Mailing addressPo Box 21647, Tampa, FL 33622-1647

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