Individual
DONALD L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MONTGOMERY ST, DEPT OF OB/GYN, FORT WORTH, TX 76107-2553
(817) 920-6570
(817) 920-6561
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 920-6570
(817) 920-6561
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D5210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058003
—
TX
01
—
8AA714
BCBS
TX
01
—
P00600824
RAILROAD MEDICARE
TX
Enumeration date
02/01/2007
Last updated
09/19/2011
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