Dicky Lee Smith in Dallas - Physician Assistant
Dicky Lee Smith - NPI 1114181039
Dicky Lee Smith is a Physician Assistant in Dallas, Texas. Dicky Lee Smith practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dicky Lee Smith is 1114181039. The last update date is 2012-09-12.
Dicky Lee Smith's current location address is 12221 Merit Dr, Dallas, Texas. You can contact this provider via phone number 2142171911 and fax number 2142171912. The mailing address for Dicky Lee Smith is 12221 Merit Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dicky Lee Smith |
|---|---|
| Address | 12221 Merit Dr, Dallas, Texas |
| Phone Number | 2142171911 |
| Fax Number | 2142171912 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1114181039 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2012-09-12 |
Provider Mailing Address Detail
| Address | 12221 Merit Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752512202 |
| Phone Number | 2142171911 |
| Fax Number | 2142171912 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: 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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 297060001 | TX | -- | |
| 297060002 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Dicky Lee Smith by the Centers for Medicare & Medicaid Services?
The Dicky Lee Smith has been issued the NPI (National Provider Identifier) 1114181039. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dicky Lee Smith's facilities are geographically located?
The facilities of Dicky Lee Smith are physically situated at the following location: 12221 Merit Dr, Dallas, TX, 752512202.
What is Dicky Lee Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dicky Lee Smith's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Dicky Lee Smith's 1114181039 issued?
The Dicky Lee Smith's 1114181039 was issued on 2008-07-10.
As of what date were the details pertaining to Dicky Lee Smith last refreshed?
The information related to the Dicky Lee Smith, including its address, specialty, and other relevant details, was last updated on 2012-09-12.