SOUTHWEST COSMETIC DERMATOLOGY ASSOCIATES
Medical Practice at Hulen St, Fort Worth, TX

License number
Texas E2711
Category
Medical Practice
Type
Specialist
Owner
Name: DR. JAMES RICHMOND MCCARTY M.D.
Title: PRESIDENT
Phone: (817) 920-9023
Address
Address
4365 S Hulen St, Fort Worth, TX 76109
National Provider ID: 1528271624
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTHWEST COSMETIC DERMATOLOGY ASSOCIATES

Fort Worth, TX

Status:
Inactive
Industry:
Physician
Doing business as:
Southwest Cosmetic Dermatology Associates
Registration:
Oct 26, 1995
Phone:
(817) 920-9023 (Phone)
Addresses:
4365 S Hulen St, Fort Worth, TX 76109 (Mailing)
4305 S Hulen St E, Fort Worth, TX 76109
State ID:
0081652803
Business type:
Professional Association
President , Member , Director:
James R. Mccarty President , Member , Director, inactive
Agent:
James R Mccarty,4365 S Hulen St, Fort Worth, TX 76109 (Physical)
TIN:
30118234662

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