RUSSELL R SMITH

FORT WORTH, TX
NPI1205092327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  PA05791)
Enumeration Date2008-07-29
Last Update Date2023-05-22
Business Address
RUSSELL R SMITH PA
5900 ALTAMESA BLVD STE 100
FORT WORTH, TX 76132-5475
Phone number: 817-854-9969
Mailing Address
RUSSELL R SMITH PA
5900 ALTAMESA BLVD STE 100
FORT WORTH, TX 76132-5475
Phone number: 817-854-9969
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