Organization · Type 2 NPI

Richard Thomas Ethridge MD

Plastic and Reconstructive Surgery Physician · Fort Worth, TX

NPI number 1649438029 Active

Practice location

1622 8th Ave, Suite 130
Fort Worth, TX 76104

Fax (817) 921-5567

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	M5152 (TX)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

2 other providers at this address

Patrick Walsh MD Professional AssociationDermatology Physician Fort Worth, TX NPI 1043341480
Andrew Carter Thomas, DOInternal Medicine Physician Fort Worth, TX NPI 1710623301

Other plastic and reconstructive surgery physician providers in Fort Worth

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NPI record

NPI: 1649438029
Entity type: Organization (Type 2)
Issued: Jun 2, 2008
Last updated: Feb 27, 2019
Status: Active

Other names

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Ethridge Plastic Surgery · doing business as
Ethridge Plastic Surgery · doing business as

Authorized official

Dr. Richard Thomas Ethridge, MD
Physician
(817) 921-5566

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About NPI 1649438029

Richard Thomas Ethridge MD's National Provider Identifier is 1649438029, issued on Jun 2, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 27, 2019.