Individual provider · Type 1 NPI

Ryan Mark Smith, PA

Physician Assistant · Fort Worth, TX

NPI number 1700164555 Active

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

1320 S University Dr Ste 500
Fort Worth, TX 76107-5732

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA07494 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1700164555

Ryan Mark Smith, PA's National Provider Identifier is 1700164555, issued on Jul 27, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 29, 2026.