Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Worth Dermatology Associates P A

Organization MOHS-Micrographic Surgery Physician · NPI 1477668747

Fort Worth Dermatology Associates P A is an MOHS-Micrographic Surgery Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

1200 W Rosedale St
Fort Worth, TX 76104-4454
Phone: (817) 336-8131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence C8359 (TX)

Record details

NPI number1477668747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Maberry — Owner · (817) 336-8131
NPI enumeratedAugust 20, 2006
Last updated in NPPESFebruary 9, 2010
Mailing address1200 W Rosedale St, Fort Worth, TX 76104-4454

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