Individual
JARED TAYLOR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6301 HARRIS PKWY STE 300, FORT WORTH, TX 76132-4266
(817) 877-3432
Mailing address
1124 CROPOUT WAY, HASLET, TX 76052-5887
(806) 759-7624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14991
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/06/2020
Last updated
08/18/2023
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