Richard Thomas Ethridge Md in Fort Worth - Plastic And Reconstructive Surgery

Richard Thomas Ethridge Md - NPI 1649438029

Richard Thomas Ethridge Md is a Plastic And Reconstructive Surgery in Fort Worth, Texas. Richard Thomas Ethridge Md practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Richard Thomas Ethridge Md is 1649438029. The last update date is 2019-02-27.

Richard Thomas Ethridge Md's current location address is 1622 8th Ave, Fort Worth, Texas. You can contact this provider via phone number 8179215566 and fax number 8179215567. The mailing address for Richard Thomas Ethridge Md is 1622 8th Ave, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Richard Thomas Ethridge Md
Address 1622 8th Ave, Fort Worth, Texas
Phone Number 8179215566
Fax Number 8179215567
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Ethridge Thomas Richard
Credentials MD
Telephone Number 8179215566

NPI Number Detail

NPI Number 1649438029
Provider Enumeration Date 2008-06-02
Last Updated Date 2019-02-27

Provider Mailing Address Detail

Address 1622 8th Ave
City Fort Worth
State Texas (TX)
Post Code 76104
Phone Number 8179215566
Fax Number 8179215567

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No M5152
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

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FAQs about Richard Thomas Ethridge Md

What is the unique 10-digit identifier code assigned to Richard Thomas Ethridge Md by the Centers for Medicare & Medicaid Services?

The Richard Thomas Ethridge Md has been issued the NPI (National Provider Identifier) 1649438029 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Richard Thomas Ethridge Md is physically located?

The Richard Thomas Ethridge Md is situated at the following address: 1622 8Th Ave, Fort Worth, TX 76104.

What is Richard Thomas Ethridge Md's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard Thomas Ethridge Md is Plastic And Reconstructive Surgery, and the taxonomy code that classifies this field of practice is 2086S0122X.

When was the Richard Thomas Ethridge Md's 1649438029 issued?

The Richard Thomas Ethridge Md's 1649438029 was issued on 2008-06-02.

When was the information regarding Richard Thomas Ethridge Md, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Richard Thomas Ethridge Md, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-02-27.

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