Individual
BRENT ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1640 N ZARAGOZA RD, EL PASO, TX 79936-8004
(915) 562-8525
Mailing address
1518 S PARK ST, PECOS, TX 79772-5721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118370
TX
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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