WILLIE SMITH NPI 1154149771

NPI Information

  • NPI: 1154149771
  • Provider Name: WILLIE SMITH
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Individual
  • Address: 1612 CHACON CANYON DR
    DESOTO, TX
    ZIP 75115
  • Phone: (817) 704-9583

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NPI Details

Willie Smith is a non emergency medical transport van in Desoto, TX. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Willie Smith NPI is 1154149771. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1612 CHACON CANYON DR
DESOTO, TX
ZIP 75115-782
Phone: (817) 704-9583

The enumeration date for this NPI number is 10/2/2024 and was last updated on 10/4/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172A00000XDriver02039054TEXASNo
2343900000XNon-emergency Medical Transport (VAN)02039054TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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