Individual
MOLLY MAE WARTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5751 EDWARDS RANCH RD STE 101, FORT WORTH, TX 76109-4131
(817) 923-8220
(817) 923-9004
Mailing address
5751 EDWARDS RANCH RD STE 101, FORT WORTH, TX 76109-4131
(817) 923-8220
(817) 923-9004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD038210
DC
207N00000X
Dermatology Physician
ME106298
FL
207N00000X
Dermatology Physician
Primary
N2335
TX
207ND0101X
MOHS-Micrographic Surgery Physician
N2335
TX
Other
Enumeration date
06/15/2008
Last updated
09/23/2020
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