Individual
DR. WADE HAMRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
812 N NOLAN RIVER RD, CLEBURNE, TX 76033-7012
(817) 641-6258
(817) 641-0980
Mailing address
812 N NOLAN RIVER RD, CLEBURNE, TX 76033-7012
(817) 641-6258
(817) 641-0980
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D9673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035613101
—
TX
Enumeration date
09/20/2005
Last updated
09/13/2011
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