Individual
RYAN ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
(682) 885-7497
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M2118
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
M2118
TX
208000000X
Pediatrics Physician
M2118
TX
Other
Enumeration date
03/24/2006
Last updated
11/17/2023
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