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Contact Information

LESLIE W SMITH, MD
855 MONTGOMERY ST
FORT WORTH, TX76107-2553
 Phone: 817-735-2400
 Fax: 817-735-0615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LESLIE W SMITH · (Male)

NPI Number 1336249630
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 08/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 023829
  • MA License # 209098
  • TX License # F2020
  • CT Medicaid 001238294
  • TX Medicaid 204374701
  • TX Other 8X5119 BCBS
  • TX Other P00998014 RAILROAD MEDICARE
Hospital affiliation(s)
  • JPS HEALTH NETWORK - (Acute Care)
    1500 S MAIN ST
    FORT WORTH, TX 76104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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