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NPI Code Detail

MEDICARE: FARRAH E SMITH PT

MEDICARE: FARRAH E SMITH PT
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
12251X0800XOrthopedic Physical Therapist1146531TX

General Provider Information

NPI Number : 1023025483
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARRAH E SMITH PT
Provider Business Mailing Address
First Line : 4304 MULLIGAN AVE
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-3475
Country : US
Telephone Number : 972-262-9972
Fax Number : 972-262-9986
Provider Business Practice Location Address
First Line : 3824 S CARRIER PKWY
Second Line : SUITE 470
City : GRAND PRAIRIE
State : TX
Zip : 75052-6644
Country : US
Telephone Number : 972-262-9972
Fax Number : 972-262-9986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 06/22/2014

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Directions to “ FARRAH E SMITH PT” Practice Location

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