| NPI | 1649438029 |
|---|---|
| Doing Business As | ETHRIDGE PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMAS ETHRIDGE Physician 817-921-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX M5152) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-02-27 |