Organization
SHELLY R SMITH RNFA SURGICAL ASSIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY R SMITH RNFA (OWNER)
(817) 294-7444
Entity
Organization
Contact information
Practice address
7451 CHAPEL AVE, FORT WORTH, TX 76116-7090
(817) 294-7444
(817) 423-9060
Mailing address
PO BOX 11219, FORT WORTH, TX 76110-0219
(817) 294-7444
(817) 423-9060
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
607045
TX
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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