Dustin C Derrick
MP PLASTIC SURGERY PLLC


Address: 800 8th Ave, Suite 206, Fort Worth, TX 76104-2619
Phone: 8175299199

Dustin C Derrick (NPI# 1295049070, PAC ID# 5698089704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1295049070
PAC ID by PECOS 5698089704
Professional Enrollment ID I20180906001067
Full Name Dustin C Derrick
Organization Legal Name MP PLASTIC SURGERY PLLC
Address 800 8th Ave
Suite 206
Fort Worth
TX 76104-2619
Phone Number 8175299199
Gender M
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 2010
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Group Practice PAC ID 1254681844
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450135 TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
450779 TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F

Other Locations

Address Phone Organization
800 8th Ave, Suite 206, Fort Worth, TX 76104-2619 8175299199 MP PLASTIC SURGERY PLLC

Organization Information

Organization Legal Name MP PLASTIC SURGERY PLLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Maxim Pekarev Plastic and Reconstructive Surgery Mp Plastic Surgery Pllc 800 8th Ave, Suite 206, Fort Worth, TX 76104-2619

Office Location

Street Address 800 8TH AVE
SUITE 206
City FORT WORTH
State TX
Zip 76104-2619

Physicians in the same location

Name Specialty Organization Address
Allison B Readinger Dermatology Allison Readinger Md Pa 800 8th Ave, Suite 326, Fort Worth, TX 76104-2602
Mike Martinez Ii Interventional Pain Management 800 8th Ave, Suite 116, Ft Worth, TX 76104-2606
Morvarid Rezaie Internal Medicine 800 8th Ave, Suite 616, Fort Worth, TX 76104-2605
Farooq I Selod Orthopedic Surgery 800 8th Ave, Suite 506, Fort Worth, TX 76104-2604
Brent Banks Podiatry 800 8th Ave, Suite 440, Fort Worth, TX 76104-2603
Ashley V Mekala General Surgery North Texas Surgical Specialists Pllc 800 8th Ave, Suite 306, Fort Worth, TX 76104-2602
Richard T Jones Chiropractic 800 8th Ave, Suite 114, Fort Worth, TX 76104-2606
Dereje Md Ayo Pulmonary Disease Fort Worth Lung Clinic, Pa 800 8th Ave, Suite 142, Fort Worth, TX 76104-2601
Herbert S Hudgens Cardiac Surgery 800 8th Ave, Suite 510, Fortworth, TX 76104-2604
Elaine I Phuah Internal Medicine Leon S Tio Md Pa 800 8th Ave, Suite 336, Fort Worth, TX 76104-2614
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Physicians in the same zip code

Name Specialty Organization Address
Steven E Prouty Psychologist, Clinical Deer Oaks Geriatric Services P C 424 S Adams, Fort Worth, TX 76104-1003
Ginna K Kaplan Clinical Social Worker Deer Oaks Geriatric Services P C 424 S Adams, Fort Worth, TX 76104-1003
Prashanthi J Giridhar Ophthalmology Pediatric Eye Specialists LLP 321 S Henderson St, Fort Worth, TX 76104-1016
Bowlva Michael Lee Pain Management Institute of Spine and Pain Solutions Pllc 416 S Henderson St, Fort Worth, TX 76104-1017
Travis A Foster Vascular Surgery 412 S Henderson St, Fort Worth, TX 76104-1017
Joseph Elvis Guinn Vascular Surgery 412 S Henderson St, Fort Worth, TX 76104-1017
Bryan J Skulpoonkitti Anesthesiology Institute of Spine and Pain Solutions Pllc 416 S Henderson St, Fort Worth, TX 76104-1017
Jonathan D Riddle Certified Registered Nurse Anesthetist (crna) 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017
Karim M Meghani Physical Medicine and Rehabilitation 425 Alabama Ave, Fort Worth, TX 76104-1022
Catherine A Colquitt Infectious Disease 425 Alabama Ave, Fort Worth, TX 76104-1022
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Competitor

Search similar physicians

City FORT WORTH
Zip Code 76104
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty FORT WORTH + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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