Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fort Worth Dermatology Associates P A

Organization MOHS-Micrographic Surgery Physician · NPI 1477668747

Fort Worth Dermatology Associates P A provides MOHS-Micrographic Surgery Physician services in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

1200 W Rosedale St
Fort Worth, TX 76104-4454 Not confirmed with CMS for 16 years — call before visiting
Phone: (817) 336-8131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence C8359 (TX)

Record details

NPI number1477668747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Maberry — Owner · (817) 336-8131
NPI enumeratedAugust 20, 2006
Last updated in NPPESFebruary 9, 2010
Mailing address1200 W Rosedale St, Fort Worth, TX 76104-4454

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