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Individual

JOHN KEVIN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8230 WALNUT HILL LN, SUITE 514, DALLAS, TX 75231-4482
(214) 691-9777
(214) 691-1123
Mailing address
8230 WALNUT HILL LN, SUITE 514, DALLAS, TX 75231-4482
(214) 691-9777
(214) 691-1123

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
TX

Other

Enumeration date
11/27/2007
Last updated
11/27/2007
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