Individual
DALE WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12404 PARK CENTRAL DRIVE, SUITE 150S, DALLAS, TX 75251
(214) 695-8847
(214) 368-0653
Mailing address
PO BOX 670846, DALLAS, TX 75367-0846
(214) 695-8847
(214) 368-0653
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1036424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83367T
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
08/18/2006
Last updated
01/20/2025
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