Individual
DR. STACEY LANELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 848-4040
(817) 848-4870
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 237-1664
(214) 237-1864
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
N5409
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N5409
TX
Other
Enumeration date
01/02/2008
Last updated
06/28/2010
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