Organization
LIESL BREDESON SMITH, M.D., P.A.
Active
Other names
Liesl B Smith, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIESL B SMITH MD (OWNER OPERATOR)
(214) 345-8485
Entity
Organization
Contact information
Practice address
8160 WALNUT HILL LN, SUITE 212, DALLAS, TX 75231-4339
(214) 345-8485
(214) 345-8486
Mailing address
PO BOX 678149, DALLAS, TX 75267-8149
(214) 345-8485
(214) 345-8486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K3012
TX
Other
Enumeration date
04/23/2007
Last updated
12/20/2007
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