Individual provider · Type 1 NPI

Dustin Clifton Derrick, MD

Plastic Surgery Physician · Fort Worth, TX

NPI number 1295049070 Active

Practice location

5825 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4142

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XQ4085 (TX)
Plastic Surgery Physician Primary 208200000XQ4085 (TX)

Plastic Surgery Physician: 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 b…

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About NPI 1295049070

Dustin Clifton Derrick, MD's National Provider Identifier is 1295049070, issued on Aug 3, 2010. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 14, 2026.