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Individual

JUSTIN RAY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2300 SH-114 STE. 300, TROPHY CLUB, TX 76262
(817) 347-8100
(817) 347-8099
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N2302
TX

Other

Enumeration date
01/29/2009
Last updated
07/06/2023
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