Surgical Group of North Texas, PLLC
NPI 1124085956 · Surgery Physician · Grapevine, TX
Provider details
- NPI number
- 1124085956
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sina Matin, Partner(817) 251-0070
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Acute Care Nurse Practitioner363LA2100X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 12461 Timberland Blvd Ste 301Fort Worth, TX 76244-5212Phone: (817) 251-0070Fax: (817) 527-6610
- 9509 N Beach St Ste 102Fort Worth, TX 76244-6399Phone: (817) 251-0070Fax: (817) 527-6610
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2019-12-13
- Certified
- 2019-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.