Southwest Cosmetic Dermatology Associates
Southwest Cosmetic Dermatology Associates is a Specialist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
4365 S Hulen StFort Worth, TX 76109-4917
Phone: (817) 920-9023
Fax: (817) 923-6013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence E2711 (TX) |
|---|
Record details
| NPI number | 1528271624 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James McCarty — President · (817) 920-9023 |
| NPI enumerated | May 7, 2007 |
| Last updated in NPPES | November 10, 2011 |
| Mailing address | 4365 S Hulen St, Fort Worth, TX 76109-4917 |
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