MEDICARE: DR. EDWARD W SMITH DO

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	207X00000X	Orthopaedic Surgery Physician	E1757	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	826203416	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3397737	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1710985940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD W SMITH DO

Provider Business Mailing Address
First Line	:	1620 EASTRIDGE CT
Second Line	:
City	:	HURST
State	:	TX
Zip	:	76054-3712
Country	:	US
Telephone Number	:	817-510-6724
Fax Number	:	817-665-2974

Provider Business Practice Location Address
First Line	:	1620 EASTRIDGE CT
Second Line	:
City	:	HURST
State	:	TX
Zip	:	76054-3712
Country	:	US
Telephone Number	:	817-510-6724
Fax Number	:	817-665-2974

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	10/23/2025

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Directions to “ DR. EDWARD W SMITH DO” Practice Location

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