| NPI | 1740345248 |
|---|---|
| Doing Business As | DERMATOLOGY & LASER CENTER OF FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | WILLIAM F COTHERN President 817-377-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX F9330) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |