Individual
ASHLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-8338
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10645
TX
363AM0700X
Medical Physician Assistant
Primary
PA10645
TX
Other
Enumeration date
05/24/2016
Last updated
01/19/2018
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