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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

NPI # 1215156120
LBN Legal business name JUDSON P SMITH MD PA
Authorized official LISA FITZGERALD - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2007
Last updated 11/04/2010 - About 16 years ago
Identifiers
TX License # D9667
TX Medicaid 149393401
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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