OrganizationActive
Cosmetic Surgery of Dfw PLLC
NPI 1497337471 · Plastic Surgery Physician · Fort Worth, TX
Provider details
- NPI number
- 1497337471
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dustin Derrick, Owner(817) 529-4314
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
800 12th Ave Ste 100
Fort Worth, TX 76104-2519
Phone: (817) 529-4314
Fax: (844) 210-1095
Street-level locationGet directions
Mailing address
800 12th Ave Ste 100
Fort Worth, TX 76104-2519
Registry dates
- Enumerated
- 2021-04-28
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.