Individual provider · Type 1 NPI

John Kevin Smith, PA-C

Surgical Physician Assistant · Dallas, TX

NPI number 1629250105 Active

Practice location

8230 Walnut Hill Ln, Suite 514
Dallas, TX 75231-4482

Fax (214) 691-1123

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1629250105

John Kevin Smith, PA-C's National Provider Identifier is 1629250105, issued on Nov 27, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Nov 27, 2007.