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Dr. Dustin Clifton Derrick, MD
Plastic Surgery Physician in Fort Worth, Texas
NPI 1295049070

Dustin Clifton Derrick is a Plastic Surgery Physician based in Fort Worth, TX. Dustin Clifton Derrick practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Dustin Clifton Derrick is 1295049070 and holds a License No. Q4085 (Texas).

The current practice location address for Dustin Clifton Derrick is 800 12Th Ave Ste 100, Fort Worth, TX and can be reached out via phone at 817-810-0770 and via fax at 817-820-0242. You can also correspond with Dustin Clifton Derrick through the mailing address at 800 12TH AVE STE 100, FORT WORTH, TX - 76104-2519 (mailing address contact number: 817-810-0770).

Location: 800 12Th Ave Ste 100, Fort Worth, TX, 76104-2519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295049070
Provider Name
Dustin Clifton Derrick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 12Th Ave Ste 100, Fort Worth, TX, 76104-2519
Phone Number
817-810-0770
Fax Number
817-820-0242
Provider Enumeration Date
08/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 12Th Ave Ste 100
City
Fort Worth
State
Texas
Zip
76104-2519
Phone Number
817-810-0770
Fax Number
817-820-0242
person
Provider Business Mailing Address Details
Address
800 12Th Ave Ste 100
City
Fort Worth
State
Texas
Zip
76104-2519
Phone Number
817-810-0770
Fax Number
817-820-0242
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
Q4085 (Texas)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
57. 025880 (Ohio)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
Q4085 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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