| NPI | 1760600720 | 
|---|---|
| Other Name | LIESL B SMITH, M.D. | 
| Entity Type | Organization | 
| Authorized Contact | LIESL B SMITH Owner Operator 214-345-8485 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: TX K3012) | 
| Enumeration Date | 2007-04-23 | 
| Last Update Date | 2007-12-20 |