| Dr. Mark Smith PA | |
|
7100 Oakmont Bvld Suite 108 Fort Worth TX 76132-3908 | |
| (817) 370-2657 | |
| (817) 370-2186 |
| Full Name | Dr. Mark Smith PA |
|---|---|
| Speciality | Clinic/center |
| Location | 7100 Oakmont Bvld Suite 108, Fort Worth, Texas |
| Authorized Official Name and Position | Daphne Anglin (OFFICE MANAGER) |
| Authorized Official Contact | 8173702657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mark Smith PA 7100 Oakmont Bvld Suite 108 Fort Worth TX 76132-3908 Ph: (817) 370-2657 | Dr. Mark Smith PA 7100 Oakmont Bvld Suite 108 Fort Worth TX 76132-3908 Ph: (817) 370-2657 |
| NPI Number | 1033461017 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033461017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H5975 (Texas) | Primary |
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