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

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

F9330 Issued in TX

Legal business name

WILLIAM F COTHERN, D.O., P.A.

Doing business as

Dermatology & Laser Center of Fort Worth

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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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.NPI 1962493445

Title

President

Phone

(817) 377-1243

Specialties & licenses 1

Addresses

Other names 1

• DERMATOLOGY & LASER CENTER OF FORT WORTH Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Forrest Cothern, DO

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1962493445
  Authorized official Same address or phone

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"
        }
    ]
}

• Kenneth Sean Willeford, ATC, LAT
• Christina Willens, PTA
• Leah Willett, DC
• William C Bridges MD & Associates
• William Drost Altig, O.D., P.C. (Altig Optical)
• 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 (Eagle Ranch Vision Source)

• Allergy & Immunology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Allergy & Immunology Physician in Texas

• 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.