RICHARD THOMAS ETHRIDGE MD NPI 1649438029

NPI Information

RICHARD THOMAS ETHRIDGE MD is a plastic and reconstructive surgery surgery in Fort Worth, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. RICHARD THOMAS ETHRIDGE MD NPI is 1649438029. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ethridge Plastic Surgery.

The provider's business location address is:

1622 8TH AVE
SUITE 130
FORT WORTH, TX
ZIP 76104
Phone: (817) 921-5566
Fax: (817) 921-5567

The provider's authorized official is Richard Thomas Ethridge .
The authorized official title is Physician and has the following contact phone number (817) 921-5566.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 2/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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