Individual
JORDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 BRYANT IRVIN RD UNIT 34506, FORT WORTH, TX 76162-5009
(817) 368-1980
(888) 206-1272
Mailing address
7101 BRYANT IRVIN RD UNIT 34506, FORT WORTH, TX 76162-5009
(817) 368-1980
(888) 206-1272
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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