Individual
CODY WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST, CSFA
Contact information
Practice address
1650 W. ROSEDALE, SUITE 201, FORT WORTH, TX 76104
(817) 885-7442
(817) 885-7443
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(832) 436-4273
(832) 436-4273
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
106121
CO
246ZS0410X
Surgical Technologist
CERT. # 106121
—
Other
Enumeration date
01/22/2010
Last updated
08/03/2018
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