Organization
NORTH METRO PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM PEKAREV MD (PRESIDENT)
(817) 529-9199
Entity
Organization
Contact information
Practice address
800 8TH AVE STE 206, FORT WORTH, TX 76104-2619
(817) 529-9199
(817) 334-0491
Mailing address
800 8TH AVE STE 206, FORT WORTH, TX 76104-2619
(817) 529-9199
(817) 334-0491
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
P5223
TX
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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