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Madeline Shelby Smith
Other Specialist/Technologist in Fort Worth, Texas
NPI 1639823206

Madeline Shelby Smith is a Other Specialist/Technologist based in Fort Worth, TX. Madeline Shelby Smith practices in Fort Worth, TX. The NPI Number for Madeline Shelby Smith is 1639823206 and holds a License No. (Texas).

The current practice location address for Madeline Shelby Smith is 111 Boland St Ste 211, Fort Worth, TX and can be reached out via phone at 817-529-8485. You can also correspond with Madeline Shelby Smith through the mailing address at 111 BOLAND ST STE 211, FORT WORTH, TX - 76107-1265 (mailing address contact number: 817-529-8485).

Location: 111 Boland St Ste 211, Fort Worth, TX, 76107-1265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639823206
Provider Name
Madeline Shelby Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Boland St Ste 211, Fort Worth, TX, 76107-1265
Phone Number
817-529-8485
Fax Number
Provider Enumeration Date
02/11/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1111111111 01 NOTAPPLICABLE
institution
Provider Business Practice Location Address Details
Address
111 Boland St Ste 211
City
Fort Worth
State
Texas
Zip
76107-1265
Phone Number
817-529-8485
Fax Number
person
Provider Business Mailing Address Details
Address
111 Boland St Ste 211
City
Fort Worth
State
Texas
Zip
76107-1265
Phone Number
817-529-8485
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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