Organization
TRACC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C SMITH M.D. (PRESIDENT)
(817) 332-9957
Entity
Organization
Contact information
Practice address
757 8TH AVE STE 1, FORT WORTH, TX 76104-2522
(817) 332-9957
(817) 336-3130
Mailing address
PO BOX 1559, GRANBURY, TX 76048-8559
(817) 332-9957
(817) 336-3130
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079753201
—
TX
Enumeration date
05/16/2006
Last updated
08/31/2020
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