Organization
SOUTHWEST COSMETIC DERMATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RICHMOND MCCARTY M.D. (PRESIDENT)
(817) 920-9023
Entity
Organization
Contact information
Practice address
4365 S HULEN ST, FORT WORTH, TX 76109-4917
(817) 920-9023
(817) 923-6013
Mailing address
4365 S HULEN ST, FORT WORTH, TX 76109-4917
(817) 920-9023
(817) 923-6013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2711
TX
Other
Enumeration date
05/07/2007
Last updated
11/10/2011
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