Individual
WADE S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6301 HARRIS PKWY STE 300, FORT WORTH, TX 76132-4266
(817) 877-3432
Mailing address
6301 HARRIS PKWY STE 300, FORT WORTH, TX 76132-4266
(817) 877-3432
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA04134
TX
Other
Enumeration date
07/11/2006
Last updated
11/17/2020
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