Individual
DAVID M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1001 N WALDROP DR, SUITE 403, ARLINGTON, TX 76012-4705
(817) 701-4253
(817) 701-4258
Mailing address
1001 N WALDROP DR, SUITE 403, ARLINGTON, TX 76012-4705
(817) 701-4253
(817) 701-4258
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA03617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N3817
BCBS OF TEXAS
TX
Enumeration date
05/17/2006
Last updated
11/30/2012
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