Organization
RICHARD THOMAS ETHRIDGE MD
Active
Other names
Ethridge Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD THOMAS ETHRIDGE MD (PHYSICIAN)
(817) 921-5566
Entity
Organization
Contact information
Practice address
1622 8TH AVE, SUITE 130, FORT WORTH, TX 76104
(817) 921-5566
(817) 921-5567
Mailing address
1622 8TH AVE, SUITE 130, FORT WORTH, TX 76104
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M5152
TX
Other
Enumeration date
06/02/2008
Last updated
02/27/2019
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