Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DUSTIN CLIFTON DERRICK, M.D.
Active Sole ProprietorDR. DUSTIN CLIFTON DERRICK, M.D. is a Plastic Surgery healthcare provider located in FORT WORTH, Texas. NPI 1295049070 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · FORT WORTH, TX
Registration Details
- NPI Number
- 1295049070
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2010 (16.052066074699 yrs)
- Last Updated
- Oct 13, 2021
- Licenses
-
Q4085 (TX)57. 025880 (OH)Q4085 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 12TH AVE STE 100FORT WORTH, TX, 761042519Browse TX providers · Browse ZIP 76104
- Phone
- 8178100770
- Fax
- 8178200242
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Plastic Surgery
Other Plastic Surgery Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| JONATHAN BARRY HEISTEIN | M.D. | 1972590404 |
| DR. DENNIS I SCHUSTER | M.D. | 1417910449 |
| KELLY R KUNKEL | M.D. | 1730144502 |
| DR. DANIELLE M. LEBLANC | M.D. | 1669439790 |
| DR. MATTHEW HOWARD STEELE | MD | 1629010772 |
| LARRY E REAVES | MD | 1982629788 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.