Individual
STEVEN JAY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 BRYANT IRVIN RD, SUITE 100, FORT WORTH, TX 76132-4250
(817) 882-6338
(817) 759-9808
Mailing address
7000 BRYANT IRVIN RD, SUITE 100, FORT WORTH, TX 76132-4250
(817) 882-6338
(817) 759-9808
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
P0479
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
P0479
TX
Other
Enumeration date
07/24/2007
Last updated
07/26/2024
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