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Individual

DICKY LEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
12221 MERIT DR, STE 1610, DALLAS, TX 75251-2202
(214) 217-1911
(214) 217-1912
Mailing address
12221 MERIT DR, STE 1610, DALLAS, TX 75251-2202
(214) 217-1911
(214) 217-1912

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
297060001
TX
05
297060002
TX
Enumeration date
07/10/2008
Last updated
09/12/2012
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