NPI age
9 years
Enumerated 2016-12-05
● Active Type 2 · Organization
Polavarapu Plastic Surgery, Pllc
Polavarapu Plastic Surgery, Pllc is 1 of 618 plastic surgery organizations in Texas.
Primary specialty
Plastic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Polavarapu
Owner
Last NPPES update
2017-01-31
Source: monthly bulk 2026-05
How this organization compares
Across 618 active plastic surgery providers in Texas.
NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-12Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
4455 Camp Bowie Blvd, Suite 114-30
Fort Worth, TX 761073864
Mailing address
4455 Camp Bowie Blvd, Suite 114-30
Fort Worth, TX 761073864
Authorized official
Kiran Polavarapu, M.D.
Owner
📞 8176158576
Individual providers at this organization
1 individual provider on file at this primary practice address.
- David Teitelbaum, D.O. Neuromusculoskeletal Medicine & OMM NPI 1366498438
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
Multi-provider organization. 1 individual provider on file at this primary address.
Provyx · Custom healthcare lists
Need all 618 Plastic Surgery providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.