Individual
RACHEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6850 MANHATTAN BLVD, STE 204, FORT WORTH, TX 76120-1227
(817) 507-1500
Mailing address
6850 MANHATTAN BLVD, STE 204, FORT WORTH, TX 76120-1227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111782
TX
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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