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NPI Code Detail

MEDICARE: KYLE SMITH R.T (R) (CT)

MEDICARE: KYLE SMITH R.T (R) (CT)
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
1243U00000XRadiology Practitioner Assistant1245995190TX

General Provider Information

NPI Number : 1245995190
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE SMITH R.T (R) (CT)
Provider Business Mailing Address
First Line : PO BOX 154
Second Line :
City : ARGYLE
State : TX
Zip : 76226-0154
Country : US
Telephone Number : 940-368-3612
Fax Number :
Provider Business Practice Location Address
First Line : 1820 PRESTON PARK BLVD STE 2400
Second Line :
City : PLANO
State : TX
Zip : 75093-3716
Country : US
Telephone Number : 972-867-7862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2021
Last Update Date : 11/06/2025

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