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

Westside Plastic Surgery, PLLC

Organization Plastic Surgery Physician · NPI 1730893645

Westside Plastic Surgery, PLLC is a Plastic Surgery Physician in Fort Worth, Texas. Registered with an NPI since 2023.

In the registry since
2023
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

3416 Lovell Ave Ste 110
Fort Worth, TX 76107-5718
Phone: (817) 961-1950
Fax: (817) 887-3105
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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 number1730893645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dolores Wallace — Office Manager · (817) 961-1950
NPI enumeratedJanuary 6, 2023
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023
Mailing address3416 Lovell Ave Ste 110, Fort Worth, TX 76107-5718

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