Organization
WILLIAM F COTHERN, D.O., P.A.
Active
Other names
DERMATOLOGY & LASER CENTER OF FORT WORTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F COTHERN D.O., P.A. (PRESIDENT)
(817) 377-1243
Entity
Organization
Contact information
Practice address
4201 CAMP BOWIE BLVD, STE A, FORT WORTH, TX 76107-3928
(817) 377-1243
(817) 763-0631
Mailing address
4201 CAMP BOWIE BLVD, STE A, FORT WORTH, TX 76107-3928
(817) 377-1243
(817) 763-0631
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
F9330
TX
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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