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Judson P Smith Md Pa
Specialist in Fort Worth, Texas
NPI 1215156120

Judson P Smith Md Pa is a Specialist based in Fort Worth, TX. Judson P Smith Md Pa practices in Fort Worth, TX. The NPI Number for Judson P Smith Md Pa is 1215156120 and holds a License No. D9667 (Texas).

The current practice location address for Judson P Smith Md Pa is 417 W Magnolia Ave, Fort Worth, TX and can be reached out via phone at 817-338-0875 and via fax at 817-870-1612.

Location: 417 W Magnolia Ave, Fort Worth, TX, 76104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215156120
Provider Name
Judson P Smith Md Pa
Credential
Provider Entity Type
Organization
Address
417 W Magnolia Ave, Fort Worth, TX, 76104
Phone Number
817-338-0875
Fax Number
817-870-1612
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149393401 05 TX
institution
Provider Business Practice Location Address Details
Address
417 W Magnolia Ave
City
Fort Worth
State
Texas
Zip
76104
Phone Number
817-338-0875
Fax Number
817-870-1612
person
Provider Business Mailing Address Details
Address
417 W Magnolia Ave
City
Fort Worth
State
Texas
Zip
76104
Phone Number
817-338-0875
Fax Number
817-870-1612
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D9667 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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