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1700164555
RYAN MARK SMITH
FORT WORTH, TX
NPI
1700164555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2011-07-27
Last Update Date
2014-01-22
Business Address
-- RYAN MARK SMITH PA
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2224
Phone number: 817-321-0387
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Mailing Address
-- RYAN MARK SMITH PA
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0387
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