Fort Worth Plastic Surgery Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

FORT WORTH PLASTIC SURGERY CENTER

Doing business as

Texas Surgicare LP

Practice address

800 12TH Ave Ste 100
Fort Worth, TX 76104-2519

Phone

(817) 810-0600

Fax

(817) 348-8951

NPI assigned

Apr 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheri Humphreys

Title

Bookkeeper

Phone

(817) 810-0600

Specialties & licenses 1

Addresses

Other names 1

• Texas Surgicare LP Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639397326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 12TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042519",
            "telephone_number": "817-810-0600",
            "fax_number": "817-348-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 12TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042519",
            "telephone_number": "817-810-0600",
            "fax_number": "817-348-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "817-810-0600"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Surgicare LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Worth Perinatal Associates, P.a.
• Fort Worth Personal Medicine, PLLC
• Fort Worth Pharmacy LLC (Fort Worth Pharmacy)
• Fort Worth Physical Therapy PLLC
• Fort Worth Physicians PLLC
• Fort Worth Primary Care Providers
• Fort Worth Primary Care, PLLC
• Fort Worth Proctologic Clinic, PA
• Fort Worth Psychworks, PLLC
• Fort Worth Radiology, PLLC

• Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.