MEDICARE: DR. PHILLIP ALEXANDER SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	60238	TX

General Provider Information

NPI Number	:	1194326157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILLIP ALEXANDER SMITH

Provider Business Mailing Address
First Line	:	5261 SMOKEY RIDGE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2896
Country	:	US
Telephone Number	:	817-714-4983
Fax Number	:

Provider Business Practice Location Address
First Line	:	5261 SMOKEY RIDGE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-2896
Country	:	US
Telephone Number	:	817-714-4983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	11/05/2020

Similar Medicare Providers

1972219053 — ANDIE LAUREN PIPER
Practice Location Address:

790 E BROWARD BLVD APT 311
FORT LAUDERDALE, FL
33301-2896

Practice Phone: 954-397-5451
Practice Fax:

1891575502 — RENEE ANN STOICOVY
Practice Location Address:

555 NE 8TH ST APT 518
FORT LAUDERDALE, FL
33304-2896

Practice Phone: 814-450-6440
Practice Fax:

1750867669 — ALEXANDER SANCHEZ BCBA
Practice Location Address:

2896 VIA VELLARIA
LAKE WORTH, FL
33461-1749

Practice Phone: 561-345-8766
Practice Fax:

1548737943 — ONE STEP ABA INC
Practice Location Address:

2896 VIA VELLARIA
LAKE WORTH, FL
33461-1749

Practice Phone: 561-345-8766
Practice Fax:

1073185914 — AYM FOR KIDS INC
Practice Location Address:

2896 VIA VELLARIA
LAKE WORTH, FL
33461-1749

Practice Phone: 561-345-8766
Practice Fax:

1659089498 — MARTHA SANCHEZ
Practice Location Address:

2896 VIA VELLARIA
LAKE WORTH, FL
33461-1749

Practice Phone: 561-345-8766
Practice Fax:

Directions to “ DR. PHILLIP ALEXANDER SMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.