Organization
MP PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIM PEKAREV M.D. (PHYSICIAN/OWNER)
(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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328016601
—
TX
Enumeration date
01/21/2015
Last updated
10/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us