NPI age
9 years
Enumerated 2017-03-24
● Active
Type 1 · Individual
MR. Thanapoom Boonipat
Boonipat is 1 of 32 plastic surgery providers in Fort Worth and 1 of 618 in Texas.
Primary specialty
Plastic Surgery
Plus 2 subspecialties
Licensed in
TX, MN
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 618 active plastic surgery providers in Texas.
NPI age
9 years
↓ 8 yr below median (17 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Practice location
1500 S Main St
Fort Worth, TX 761044917
Mailing address
Po Box 732973
Dallas, TX 753732973
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
525 Oak Centre Dr Ste 260
San Antonio, TX 782583945
Location 3
12505 Quaker Ave Ste A
Lubbock, TX 794247743
Specialties
-
Plastic Surgery PrimaryA 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...
Practice context
Part of a multi-provider practice. 958 other active providers share this practice address in NPPES.
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- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.