Organization · Type 2 NPI

Liesl Bredeson Smith, M.d., P.a.

Specialist · Dallas, TX

NPI number 1760600720 Active

Practice location

8160 Walnut Hill Ln, Suite 212
Dallas, TX 75231-4339

Fax (214) 345-8486

Mailing address

PO Box 678149
Dallas, TX 75267-8149

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XK3012 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760600720

Liesl Bredeson Smith, M.d., P.a.'s National Provider Identifier is 1760600720, issued on Apr 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Dec 20, 2007.