Judson P Smith MD PA

NPI #1215156120 in Fort Worth, Texas

Provider Information

NPI Number: 1215156120
Entity Type: Organization
Organization Name: Judson P Smith MD PA
Primary Specialty: Specialist
Enumeration Date: Apr 25, 2007
Last Updated: Nov 4, 2010

Practice Location

Address: 417 W MAGNOLIA AVE
City: Fort Worth
State: Texas
ZIP Code: 76104
Phone: (817) 338-0875

Authorized Official

Name: MRS. LISA M FITZGERALD
Title: OFFICE MANAGER
Phone: (817) 338-4081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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