Organization
WEST FORT WORTH DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA FURNISS MORRIS M.D. (OWNER/PHYSICIAN)
(817) 713-4301
Entity
Organization
Contact information
Practice address
4840 BRYANT IRVIN CT, SUITE 104, FORT WORTH, TX 76107-7679
(817) 989-0300
(817) 377-0970
Mailing address
4840 BRYANT IRVIN CT, SUITE 104, FORT WORTH, TX 76107-7679
(817) 989-0300
(817) 377-0970
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H7639
TX
Other
Enumeration date
11/01/2016
Last updated
09/26/2017
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