Individual
CHERA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5450 CLEARFORK MAIN ST STE 300, FORT WORTH, TX 76109-3514
(817) 334-1400
(817) 334-1410
Mailing address
5450 CLEARFORK MAIN ST STE 300, FORT WORTH, TX 76109-3514
(817) 334-1400
(817) 334-1410
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377863101
—
TX
Enumeration date
06/02/2017
Last updated
07/21/2022
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