Individual
JOHN HOUSTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD10
Contact information
Practice address
300 W ROSEDALE ST, FT WORTH, TX 76104-4856
(817) 882-6052
Mailing address
300 W ROSEDALE ST, FT WORTH, TX 76104-4856
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C5246
TX
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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