Individual
DR. MAXIM PEKAREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
2086S0122X
Plastic and Reconstructive Surgery Physician
04-49254
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
P5223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3280166
—
TX
Enumeration date
05/03/2010
Last updated
08/25/2025
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