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NPI Code Detail

MEDICARE: PAUL W. SMITH

MEDICARE: PAUL W. 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
1163WR0006XRegistered Nurse First Assistant

General Provider Information

NPI Number : 1366642043
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL W. SMITH
Provider Business Mailing Address
First Line : PO BOX 822516
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-2516
Country : US
Telephone Number : 817-553-5303
Fax Number : 817-553-5304
Provider Business Practice Location Address
First Line : 6917 TRADONNA LN
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-4058
Country : US
Telephone Number : 817-553-5303
Fax Number : 817-553-5304
Authorized Official
Title or Position : SURGICAL FIRST ASSISTANT
Name : MR. PAUL W. SMITH
Credential : RNFA
Telephone Number : 817-553-5303
Provider Enumeration Date : 07/20/2007
Last Update Date : 06/17/2008

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