RICHARD THOMAS ETHRIDGE MD NPI 1649438029

NPI Information

  • NPI: 1649438029
  • Provider Name: RICHARD THOMAS ETHRIDGE MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Doing Business As: ETHRIDGE PLASTIC SURGERY
  • Address: 1622 8TH AVE
    SUITE 130
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 921-5566

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryM5152TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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