P Praxis·MD
● Active Type 2 · Organization

Richard Thomas Ethridge MD

Surgery·Fort Worth, TX· NPI 1649438029 · Enumerated 2008 · 17 years on NPI
Richard Thomas Ethridge MD is 1 of 548 surgery organizations in Texas.
NPI age
17 years
Enumerated 2008-06-02
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ethridge
Physician
Last NPPES update
2019-02-27
Source: monthly bulk 2026-05

How this organization compares

Across 548 active surgery providers in Texas.

NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
1622 8th Ave, Suite 130
Fort Worth, TX 76104
📞 8179215566fax 8179215567
Mailing address
1622 8th Ave, Suite 130
Fort Worth, TX 76104

Authorized official

Richard Thomas Ethridge, MD
Physician
📞 8179215566

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Surgery Primary
    A surgeon who specializes in plastic and reconstructive surgery.
    TX license #M5152 taxonomy 2086S0122X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Ethridge Plastic Surgery
    Type code 3 recorded 2019-02-27
  • Ethridge Plastic Surgery
    Type code 3 recorded 2008-06-02

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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