Individual
CECIL PAUL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2695 VILLA CREEK DR, #145, DALLAS, TX 75234-7328
(972) 698-8888
Mailing address
2695 VILLA CREEK DR, #145, DALLAS, TX 75234-7328
(972) 698-8888
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
4518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L53B
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/26/2009
Last updated
10/26/2009
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