Organization
RICHARDSON DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN RICHARDSON M.D. (OWNER)
(716) 361-6017
Entity
Organization
Contact information
Practice address
7000 BRYANT IRVIN RD, FORT WORTH, TX 76132-4250
(716) 361-6017
Mailing address
3223 LEMMON AVE APT 2104, DALLAS, TX 75204-2359
(716) 361-6017
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
P0479
TX
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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