Dr. Mark Smith PA
NPI #1033461017 in Fort Worth, Texas
Provider Information
- NPI Number
- 1033461017
- Entity Type
- Organization
- Organization Name
- Dr. Mark Smith PA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Oct 15, 2012
Practice Location
- Address
- 7100 OAKMONT BVLD SUITE 108
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76132-3908
- Phone
- (817) 370-2657
Authorized Official
- Name
- MRS. DAPHNE ANGLIN
- Title
- OFFICE MANAGER
- Phone
- (817) 370-2657
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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