Individual
MR. JESSE E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
L1204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00413563
RAILROAD MEDICARE
—
Enumeration date
07/17/2006
Last updated
08/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us