Organization
TEXAS PLASTIC SURGERY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G ANDERSON MD (OWNER)
(817) 810-0770
Entity
Organization
Contact information
Practice address
800 12TH AVE STE 100, FORT WORTH, TX 76104-2519
(817) 810-0770
(817) 820-0242
Mailing address
800 12TH AVE, SUITE 100, FORT WORTH, TX 76104-2518
(817) 810-0770
(817) 810-9990
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
08/03/2011
Last updated
10/13/2021
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