Organization Active NPI

William F Cothern, D.O., P.a.

  • Allergy & Immunology Physician
  • Fort Worth, TX
National Provider Identifier
1740345248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
F9330 Issued in TX
Legal business name
WILLIAM F COTHERN, D.O., P.A.
Practice address
4201 Camp Bowie Blvd
Ste a
Fort Worth, TX 76107-3928
Phone
(817) 377-1243
Fax
(817) 763-0631
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William F Cothern, D.O., P.A.
Title
President
Phone
(817) 377-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X F9330 TX Primary

Addresses

Primary practice location

4201 Camp Bowie Blvd
Ste a
Fort Worth, TX 76107-3928

Mailing address

4201 Camp Bowie Blvd
Ste a
Fort Worth, TX 76107-3928
Phone (817) 377-1243

Other names 1

  • DERMATOLOGY & LASER CENTER OF FORT WORTH Doing business as

National Provider Directory

National Provider Directory

Locations

4201 Camp Bowie Blvd
Ste A
Ft Worth, TX 76107
Phone (817) 377-1243

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740345248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CAMP BOWIE BLVD",
            "address_2": "STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073928",
            "telephone_number": "817-377-1243",
            "fax_number": "817-763-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CAMP BOWIE BLVD",
            "address_2": "STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073928",
            "telephone_number": "817-377-1243",
            "fax_number": "817-763-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F COTHERN, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTHERN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-377-1243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., P.A."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "F9330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DERMATOLOGY & LASER CENTER OF FORT WORTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.