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DERMATOLOGY AND LASER CENTER OF FT. WORTH
NPI 1295034924
Dermatology in Ft Worth, TX

Active since March 21, 2011CLIA 45D0863388 · Microscopy
4201 CAMP BOWIE BLVD, STE. A, FT WORTH, TX 76107(817) 377-1243(817) 763-0631 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology And Laser Center Of Ft. Worth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY AND LASER CENTER OF FT. WORTH (NPI 1295034924) is a healthcare organization registered as a dermatology in Ft Worth, Texas and active in the NPI registry since March 2011. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists William Forrest Cothern, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1295034924
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWILLIAM F. COTHERN,D.O.,P.A.
Location Address4201 CAMP BOWIE BLVD, STE. AFt Worth, TX 76107-3928
Mailing Address4201 Camp Bowie Blvd, Ste. AFt Worth, TX 76107-3928 · (817) 377-1243 · Fax (817) 763-0631
Phone(817) 377-1243
Fax(817) 763-0631
Organization SubpartNo
Authorized OfficialWilliam Forrest CothernOwner/doctor · (817) 377-1243
Enumeration DateMarch 21, 2011
✔ NPI 1295034924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · F9330
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4201 CAMP BOWIE BLVD, Ft Worth, TX 76107
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Other Names 1

Other NameDermatology And Laser Center Of Ft. Worth

Other Identifiers 2

Other00J14UTX · Medicare Ptan
Medicaid123065802TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0863388

William F Cothern Do PA · Fort Worth, TX
Active · expires Aug 31, 2026
CLIA Number45D0863388
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWilliam F. Cothern Do
Laboratory Phone(817) 377-1243
Laboratory LocationWilliam F Cothern Do PA4201 Camp Bowie Boulevard Suite A, Fort Worth, TX 76107
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY ANN PARRALES FNP-C
Nurse Practitioner (Family)
4201 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 731-0801
DAVID T GONZALES PA
Physician Assistant
4201 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 731-0801
MICHAEL N ISENBERG PA
Physician Assistant
4201 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 731-0801
WILLIAM F COTHERN, D.O., P.A.
Allergy & Immunology
4201 CAMP BOWIE BLVD, STE A
FORT WORTH, TX 76107
Tarrant County (817) 377-1243
DAVID M. BEYER, D.O., P.A.
Family Medicine
4201 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 731-0801
WILLIAM FORREST COTHERN DO
Dermatology
4201 CAMP BOWIE BLVD, STE A
FORT WORTH, TX 76107
Tarrant County (817) 377-1243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William F. Cothern,d.O.,p.A.'s NPI number?

The NPI number for William F. Cothern,d.O.,p.A. is 1295034924. It was assigned to this organization in the NPPES registry on March 21, 2011. The provider is also known as Dermatology And Laser Center Of Ft. Worth.

Where is William F. Cothern,d.O.,p.A. located?

William F. Cothern,d.O.,p.A. is located at 4201 Camp Bowie Blvd Ste. A, Ft Worth, TX 76107. The listed phone number is (817) 377-1243.

What is William F. Cothern,d.O.,p.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does William F. Cothern,d.O.,p.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0863388) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for William F. Cothern,d.O.,p.A. was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.