Individual
MR. RANDY LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2908 SE LOOP 820, FORT WORTH, TX 76140-1019
(817) 590-8166
(817) 590-8277
Mailing address
2908 SE LOOP 820, FORT WORTH, TX 76140-1019
(817) 590-8166
(817) 590-8277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0090042
TX
332B00000X
Durable Medical Equipment & Medical Supplies
421484921
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1872004-01
—
TX
05
—
1872004-05
—
TX
Enumeration date
07/10/2006
Last updated
07/29/2025
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