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Contact Information

JUDSON P SMITH MD PA
417 W MAGNOLIA AVE
FORT WORTH, TX76104
 Phone: 817-338-0875
 Fax: 817-870-1612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JUDSON P SMITH MD PA · (Female)

NPI # 1215156120
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2007
Last updated 11/04/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # D9667
  • TX Medicaid 149393401
Hospital affiliation(s) Not Available
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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