Dr. Stephen D Maberry
MOHS-Micrographic Surgeon
1200 W Rosedale St
Fort Worth
, Texas 76104-4454
Dr. Stephen D Maberry
MOHS-Micrographic Surgeon
1200 W Rosedale St
Fort Worth
, Texas 76104-4454
(817) 336-8131
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Stephen D Maberry
- 1200 W Rosedale St
- Fort Worth, TX
- Zip : 76104-4454
- Phone : (817) 336-8131
Second Address
- Dr. Stephen D Maberry
- 1200 W Rosedale St
- Fort Worth, TX
- Zip : 76104-4454
- Phone : (817) 336-8131
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Is Dr. Stephen D Maberry a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | J4317 | TX |
National Provider Identifier
| NPI | 1093754756 |
|---|---|
| Provider Name | Dr. Stephen D Maberry |
| First Address | Fort Worth, TX 76104-4454 |
| Second Address | Fort Worth, TX 76104-4454 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 09/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 085719501 | (05) | TX |
| 752656556 | TAX ID # (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.