Organization
JESSE E SMITH, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE E. SMITH MD (OWNER)
(817) 806-4245
Entity
Organization
Contact information
Practice address
923 PENNSYLVANIA AVE STE 100, FORT WORTH, TX 76104-2254
(817) 806-4245
(817) 720-0094
Mailing address
923 PENNSYLVANIA AVE STE 100, FORT WORTH, TX 76104-2254
(817) 806-4245
(817) 720-0094
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/01/2024
Last updated
07/10/2025
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