Individual
CRYSTAL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6115 CAMP BOWIE BLVD STE 290, FT WORTH, TX 76116-5500
(817) 831-1105
Mailing address
6115 CAMP BOWIE BLVD, FT WORTH, TX 76116-5512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000000
TX
Other
Enumeration date
01/16/2019
Last updated
05/27/2020
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