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

Richard Thomas Ethridge MD

Organization Plastic and Reconstructive Surgery Physician · NPI 1649438029

Richard Thomas Ethridge MD is a Plastic and Reconstructive Surgery Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008

Practice location Address checks out

1622 8th Ave Ste 130
Fort Worth, TX 76104
Phone: (817) 921-5566
Fax: (817) 921-5567
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence M5152 (TX)

Record details

NPI number1649438029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Ethridge — Physician · (817) 921-5566
Other names Ethridge Plastic Surgery; Ethridge Plastic Surgery
NPI enumeratedJune 2, 2008
Last updated in NPPESFebruary 27, 2019
Mailing address1622 8th Ave, Suite 130, Fort Worth, TX 76104

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