SKIN MD PA
Dermatology at Martin Dr, Fort Worth, TX

License number
Texas L8526
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: MISS TRACIE DENISE SWAYDEN MD
Title: PRESIDENT
Phone: (817) 595-4500
Address
Address
8820 Martin Dr, Fort Worth, TX 76182
National Provider ID: 1215259452
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SKIN M.D., PA

8820 Martin Dr, North Richland Hills, TX 76182

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Skin M.D., PA
Registration:
Feb 2, 2009
Phone:
(817) 595-4500 (Phone)
State ID:
0801081546
Business type:
Professional Association
Director, Member, Officer:
Tracie Swayden Director, Member, Officer, inactive
TIN:
32038817410

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