Active NPI 1093754756 Individual Practitioner Male Practitioner

Dr. Stephen D Maberry , MD

Dermatology - MOHS-Micrographic Surgery • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Maberry, MD is a certified Dermatology - MOHS-Micrographic Surgery practicing in Fort Worth, TX. With approximately 34 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1992, Dr. Maberry delivers high-quality medical care to the local community at 1200 W ROSEDALE ST.

Dr. Maberry accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 W Rosedale St

Fort Worth, TX 761044454

Telephone 8173368131

Associated Practice Facility / Clinic

🏢 Fort Worth Dermatology Associates P A Facility NPI 1477668747

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Fort Worth, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +9.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Fort Worth, TX (123 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maberry (34 Years) 34 Yrs

Fort Worth Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	337	254	$1012.00	$574.48
17003 Destruction of precancer skin growth, 2-14 growths	316	70	$25.00	$6.56
99213 Established patient office or other outpatient visit, typically 15 minutes	216	143	$125.00	$89.62
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	166	126	$569.00	$401.92
17000 Destruction of skin growth	160	109	$107.00	$57.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$200.00	$109.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	78	$100.00	$55.75
11102 Tangential biopsy of single skin lesion	87	68	$199.00	$90.88
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	58	58	$695.00	$230.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$250.00	$160.85
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	36	29	$920.00	$619.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$223.39	$126.40
17110 Destruction of up to 14 skin growths	25	22	$152.00	$112.48
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	20	19	$1468.00	$910.57
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	13	$268.00	$147.19
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	18	18	$383.00	$163.49
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	17	$384.00	$161.20
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	11	$220.00	$111.96
11103 Biopsy of related skin growth, each additional growth	16	11	$100.00	$49.31
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	16	16	$416.00	$200.81
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	15	14	$525.00	$388.67
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	15	$1303.00	$984.18
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	13	$354.00	$209.12
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$805.00	$243.97
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1174.00	$757.40
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	13	13	$1587.00	$886.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	390	303	$1011.11	$630.44
17003 Destruction of precancer skin growth, 2-14 growths	240	67	$25.00	$6.79
99213 Established patient office or other outpatient visit, typically 15 minutes	195	149	$124.81	$90.44
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	179	130	$569.00	$416.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$200.00	$111.96
17000 Destruction of skin growth	134	95	$107.00	$60.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	78	$100.00	$56.65
11102 Tangential biopsy of single skin lesion	72	49	$199.00	$96.45
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	68	65	$695.00	$238.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$250.00	$166.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	33	$225.00	$128.00
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	35	33	$920.00	$615.66
11103 Biopsy of related skin growth, each additional growth	35	17	$97.14	$50.87
17110 Destruction of up to 14 skin growths	27	23	$152.00	$110.82
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	23	20	$416.00	$184.39
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	20	18	$384.00	$164.69
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	19	19	$805.00	$250.89
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	17	16	$383.00	$169.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	13	$450.00	$189.56
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	15	$1303.00	$1003.68
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$354.00	$215.32
88331 Pathology examination of specimen during surgery, first tissue block	14	14	$145.00	$102.91
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	11	11	$1468.00	$926.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	401	304	$1012.00	$616.46
17003 Destruction of precancer skin growth, 2-14 growths	211	63	$25.00	$6.94
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	165	118	$569.00	$416.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	149	113	$100.00	$56.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$200.00	$111.95
99213 Established patient office or other outpatient visit, typically 15 minutes	135	112	$124.75	$91.18
17000 Destruction of skin growth	132	106	$109.43	$60.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$250.00	$167.40
11102 Tangential biopsy of single skin lesion	87	71	$199.00	$93.41
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	63	61	$695.00	$240.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	47	$225.46	$129.16
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	50	38	$920.00	$579.58
11103 Biopsy of related skin growth, each additional growth	34	20	$100.00	$52.23
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	34	33	$383.00	$175.66
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	33	33	$416.00	$186.01
17110 Destruction of up to 14 skin growths	25	22	$150.53	$115.68
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	19	18	$384.00	$167.33
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$1174.00	$771.90
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	18	18	$805.00	$253.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	13	$268.00	$176.01
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$354.00	$167.80
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$1303.00	$1003.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	345	268	$1012.00	$640.41
17003 Destruction of precancer skin growth, 2-14 growths	287	66	$25.00	$6.71
99213 Established patient office or other outpatient visit, typically 15 minutes	176	138	$121.85	$92.18
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	151	120	$569.00	$418.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$247.75	$169.57
17000 Destruction of skin growth	126	95	$107.00	$59.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	86	$98.18	$57.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$197.35	$113.51
11102 Tangential biopsy of single skin lesion	89	70	$199.00	$97.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	57	$219.26	$130.36
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	47	46	$695.00	$256.20
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	43	38	$920.00	$619.48
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	34	32	$383.00	$171.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	25	$354.00	$213.19
11103 Biopsy of related skin growth, each additional growth	26	18	$100.00	$54.20
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	20	18	$416.00	$198.74
17110 Destruction of up to 14 skin growths	19	17	$152.00	$113.49
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	17	$384.00	$177.39
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$805.00	$275.26
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	16	$1174.00	$778.56
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	13	$1303.00	$1014.53
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	13	$542.00	$222.88
88331 Pathology examination of specimen during surgery, first tissue block	13	13	$145.00	$106.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	376	292	$1012.00	$608.39
17003 Destruction of precancer skin growth, 2-14 growths	306	74	$25.00	$6.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	212	212	$158.96	$108.31
99213 Established patient office or other outpatient visit, typically 15 minutes	206	143	$88.34	$75.64
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	164	124	$569.00	$406.43
17000 Destruction of skin growth	159	116	$107.00	$59.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	118	$73.04	$45.87
11102 Tangential biopsy of single skin lesion	95	74	$198.29	$95.97
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	68	66	$695.00	$247.18
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	35	25	$920.00	$596.23
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	25	24	$1303.00	$1022.27
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	25	24	$383.00	$161.97
17110 Destruction of up to 14 skin growths	20	19	$152.00	$110.81
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	17	$1174.00	$785.40
88331 Pathology examination of specimen during surgery, first tissue block	19	15	$145.00	$100.43
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	17	$542.00	$231.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	16	$354.00	$255.76
11103 Biopsy of related skin growth, each additional growth	16	11	$100.00	$54.11
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	15	15	$416.00	$182.35
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	12	$253.33	$174.14
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	15	$384.00	$152.89
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t	14	11	$25.00	$9.91
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	13	$805.00	$277.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	365	82	$25.00	$5.61
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	318	250	$1012.00	$622.97
99213 Established patient office or other outpatient visit, typically 15 minutes	232	163	$88.61	$74.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	190	190	$159.00	$107.52
17000 Destruction of skin growth	153	115	$107.00	$58.90
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	137	97	$569.00	$397.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	93	$63.00	$45.02
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	111	95	$695.00	$238.84
11102 Tangential biopsy of single skin lesion	93	73	$199.00	$95.20
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	30	28	$542.00	$252.07
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	26	21	$920.00	$613.72
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	18	17	$805.00	$254.96
17110 Destruction of up to 14 skin growths	17	16	$152.00	$104.16
11103 Biopsy of related skin growth, each additional growth	16	13	$100.00	$53.33
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	15	15	$1303.00	$1016.96
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1174.00	$778.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	389	89	$25.00	$4.78
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	361	276	$1012.00	$582.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	210	210	$159.00	$102.82
99213 Established patient office or other outpatient visit, typically 15 minutes	180	139	$88.39	$69.60
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	164	120	$569.00	$368.81
17000 Destruction of skin growth	161	121	$107.00	$56.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	112	$63.00	$42.13
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	99	89	$695.00	$226.22
11100 Biopsy of single growth of skin and/or tissue	92	75	$132.00	$97.60
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	29	27	$542.00	$212.08
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	29	28	$920.00	$562.78
11101 Biopsy of each additional growth of skin and/or tissue	27	23	$71.00	$30.16
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	25	22	$805.00	$242.92
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	25	25	$1303.00	$972.97
17110 Destruction of up to 14 skin growths	15	15	$152.00	$107.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	395	92	$25.00	$5.51
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	323	268	$1012.00	$601.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	197	136	$63.00	$43.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	193	193	$159.00	$106.01
17000 Destruction of skin growth	165	116	$107.00	$60.07
99213 Established patient office or other outpatient visit, typically 15 minutes	159	134	$88.89	$72.31
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	141	105	$569.00	$384.06
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	107	103	$695.00	$239.52
11100 Biopsy of single growth of skin and/or tissue	84	72	$132.00	$98.66
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	25	23	$920.00	$610.72
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	22	21	$1303.00	$1002.92
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	20	20	$805.00	$250.13
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	16	$542.00	$248.08
11101 Biopsy of each additional growth of skin and/or tissue	12	11	$71.00	$32.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	11	$224.00	$165.61
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	12	12	$1468.00	$933.42
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	11	11	$180.00	$122.27

Medical Specialties & State Licenses

Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License TX J4317

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

085719501 (TX)

Commercial Insurance / Payer ID Tax Id #

752656556 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. James Maberry , MD

Dermatology

NPI 1629017769

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 09, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2008

Registered at 1200 W ROSEDALE ST, FORT WORTH, TX 761044454 (Tel: 8173368131)

📍

Updated Business Mailing Address September 09, 2008

Registered at 1200 W ROSEDALE ST, FORT WORTH, TX 761044454 (Tel: 8173368131)

👤

Provider Name / Credentials Updated September 09, 2008

Recorded as STEPHEN MABERRY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2008

Dermatology (License #J4317 in TX)

🟢

Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093754756

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 06, 2006

Last Update: September 09, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 W Rosedale St

Fort Worth, TX 761044454

Phone: 8173368131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.