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NPI 1619070968 · live from the CMS NPI Registry

John Adnot

Dermatology, MOHS-Micrographic Surgery in Fort Worth, TX. National Provider Identifier 1619070968, active.

NPI record

NPI1619070968 Type 1 · individual
StatusActive
Primary specialtyDermatology, MOHS-Micrographic Surgery 207ND0101X
Practice location4200 S. Hulen St., Suite 400, Fort Worth, TX 76109
Practice phone817-377-0626
EnumeratedSeptember 5, 2006
Last updatedMarch 15, 2012
Sole proprietorYes
Other namesJohn Adnot

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology207N00000XH5828 (TX)
Dermatology, MOHS-Micrographic Surgery primary207ND0101XH5828 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.