Individual
DR. JENNIFER D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(142) 456-4036
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
N5408
TX
2085R0202X
Diagnostic Radiology Physician
MD072054L
PA
2085R0202X
Diagnostic Radiology Physician
N5408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010985040001
—
PA
Enumeration date
05/17/2006
Last updated
03/07/2023
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