Individual
HAYDEN PATRICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5632 EDWARDS RANCH RD STE 100, FORT WORTH, TX 76109-4149
(817) 336-7188
(844) 231-8865
Mailing address
PO BOX 226008, DALLAS, TX 75222-6008
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
S6050
TX
208D00000X
General Practice Physician
S6050
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
07/15/2022
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