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

Surgicalist of Tx PLLC

Organization Surgery Physician · NPI 1972048510

Surgicalist of Tx PLLC provides Surgery Physician services 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
Show map & directions

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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