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Richardson Dermatology, PLLC

NPI 1639551781ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Fort Worth, TX

Dermatology, MOHS-Micrographic Surgery in Fort Worth, Texas, registered in NPPES in June 2015. The authorized official on file is Steven Richardson, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1639551781
StatusActive
Entity typeOrganization
NPI issuedJun 25, 2015
Last updated in NPPESJun 25, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology, MOHS-Micrographic Surgery Primary207ND0101XP0479TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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