Organization
DR. MARK SMITH PA
Active
Organization
DR. MARK SMITH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAPHNE ANGLIN (OFFICE MANAGER)
(817) 370-2657
Entity
Organization
Contact information
Practice address
7100 OAKMONT BVLD SUITE 108, FORT WORTH, TX 76132-3908
(817) 370-2657
(817) 370-2186
Mailing address
7100 OAKMONT BVLD SUITE 108, FORT WORTH, TX 76132-3908
(817) 370-2657
(817) 370-2186
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H5975
TX
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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