Individual
DR. JOHN ADNOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 S. HULEN ST., SUITE 400, FORT WORTH, TX 76109-4912
(817) 377-0626
(817) 377-4161
Mailing address
4200 S. HULEN ST., SUITE 400, FORT WORTH, TX 76109-4912
(817) 377-0626
(817) 377-4161
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
H5828
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
H5828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032608401
—
TX
Enumeration date
09/05/2006
Last updated
03/15/2012
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