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

Cosmetic Surgery of Dfw, PLLC

Organization Plastic Surgery Physician · NPI 1497337471

Cosmetic Surgery of Dfw, PLLC provides Plastic Surgery Physician services in Fort Worth, Texas. Registered with an NPI since 2021.

In the registry since
2021
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

5825 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4142
Phone: (817) 529-4314
Fax: (817) 546-8240
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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 number1497337471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dustin Derrick — Owner · (817) 529-4314
NPI enumeratedApril 28, 2021
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026
Mailing address5825 Edwards Ranch Rd Ste 200, Fort Worth, TX 76109-4142

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