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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None 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.