Active NPI
William F Cothern, D.O., P.a.
- Allergy & Immunology Physician
- Fort Worth, TX
National Provider Identifier
1740345248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- F9330
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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
- Kenneth Sean Willeford, ATC, LAT
- Christina Willens, PTA
- Leah Willett, DC
- William C Bridges MD & Associates
- William Drost Altig, O.D., P.C.
- William F. Cothern,D.O.,P.a.
- William G Paulus DDS Ms Inc
- William G. Coleman, M.D.,P.a.
- William J. Van Wyk M.D., P.a.
- William L Aston OD and Melissa a Aston OD PC
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.