Individual
MR. CASEY RYAN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2500 VICTORY AVE, DALLAS MAVERICKS, DALLAS, TX 75219
(214) 665-4648
(214) 665-4647
Mailing address
2500 VICTORY AVE, DALLAS MAVERICKS, DALLAS, TX 75219
(214) 665-4648
(214) 665-4647
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
AT3197
TX
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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