LIESL BREDESON SMITH M.D. P.A. NPI 1760600720

NPI Information

LIESL BREDESON SMITH, M.D., P.A. is a specialist in Dallas, TX. The provider is 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. LIESL BREDESON SMITH, M.D., P.A. NPI is 1760600720. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Liesl B Smith, M.d..

The provider's business location address is:

8160 WALNUT HILL LN
SUITE 212
DALLAS, TX
ZIP 75231-339
Phone: (214) 345-8485
Fax: (214) 345-8486

The provider's authorized official is Liesl B Smith .
The authorized official title is Owner Operator and has the following contact phone number (214) 345-8485.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 12/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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