Willie Smith II

NPI #1154149771 in Desoto, Texas

Provider Information

NPI Number
1154149771
Entity Type
Individual
Name
Willie Smith II
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Oct 2, 2024
Last Updated
Oct 4, 2024

Practice Location

Address
1612 CHACON CANYON DR
City
Desoto
State
Texas
ZIP Code
75115-7782
Phone
(817) 704-9583

Specialties & Taxonomy Codes

Specialty
Driver
Non-emergency Medical Transport (VAN)

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