Individual
MAURICIO ERNESTO SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-1024
(682) 885-1033
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4444
(817) 810-1396
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
P8416
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
P8416
TX
208000000X
Pediatrics Physician
Primary
P8416
TX
Other
Enumeration date
12/18/2011
Last updated
09/20/2024
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